Homestead_Davis (23) r
" INDIANA SALES DISCLOSURE FORM SDF ID: _ Page 2
.u,D/SP,REP,ARERi a sg ft_ ‘.: I. ..E - ..j.,is °::a-----n-` +. , _;. `a-. —`„z. `, -an fir..._
Kyle Walton •
Preparer of the Sales Disclosure Form Title
5720 S. Eastern School Rd
y]4ddress/Number and Street) Company
II""S .-ln 47165 812.620.6651
City,State,and ZIP Code Telephone Number
E-mail
IE?SELLER{SIMANTOR�S C74— : y.-'� :—. :, t °} T c=aq-� r�=-...•..-._
t L'--'_ .�.��..�� �.c-�_,+'ts:-��_tc<„«�_�ev-- . c. �c�u..__tis_2�u a:�
Sabre Investments LI C
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
P O Box 3074
Address(Number and Street) Address(Number and Street)
Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an a co equired by law,and is prepared in accordance with IC 6-1.1-S.5,"Real Property Sales Disclosure Act".
Allr
Sign•ure of'eller Signature of Seller
Kenneth Rachman Pres 1—5----Zd7/
Printed Name of Seller Sian Date(MM/DD/YYYFI Printed Name of Seller Sian Date(MM/no/nr(1
H NTEE(SjyAPPCO aTION2F_OR0P.ERWaTAXcDEDUCT10tdat DENTIFt ALOW,EryIss AVAPPbEz 4+ .t.-k +'r,
Michele Davis Michael Lewi 1 t
s on conveyance document Buyer 2-Name as appears on m a e' cum•n i-'
J .
137 dd Brown(Number 137 r Brown St. (
Address(Number and5treet) Address(Number and Street) 2018
�
,,6i t n.....
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROP�BTY_1DES FY Aleol34I93E PPL
YES NO CONDITION / YES NO CONDITION
• 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary
ar nergy Heating/Cooling System
residence,including county:
f/8 Id. /b("// Sr ❑ TA S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Pernoae, y/ /A/ 117670 6-145o ii ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) [�/��/ --,
City,State ZIP Code County 6 -ti- la — -O4—DoI. a,?s —Dag
Primary property owner contact name E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct