Homestead_Mendenhall INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Leon C. Stone President
Preparer of the Sales Disclosure Form Title
' 226 West Broadway Street Broadway Title Inc.
Address(Number and Street) Company
Princeton. IN 47670 (812)386-1687 bti(t rnw.iwcbc.com
City,State,and ZIP Code Telephone Number E-mail
Jarmon I Perkins Patricia L Perkins
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
. 1112 N Main Street 1112 N Main Street
Address(Number and Street) Address(Number and Street)
Princeton IN 47670 Princeton IN 47670 •
. a t U complete as requir:..,y I.ta,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
. e G\lc
• •ignature of Seller &-22--/-g Signature of Sale ,t
Amon L Perkins Patricia L Perkins ! °6.;IL ' .. 01 4 -
Printed Name of Seller Sipn Date(MM/DD/IYYY) Printed Name of Seller i I t .(S) Datef M 4',/YYnt
&F, - ":•' , , : S LAPP-LICATI0NP,ORTP,R OP_ERa=YiTt1XiDEDU,G^Ti,I0NS$I DE Nail FeYn'ALL ITrEMSjTHl1TeAP2IW o Fs:y
Zachary R. Mendenhall
THE SALES DISCLOSURE FORM MAY.BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION Y . 0 CO,'I .
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead
• residence? Provide complete address of primary a ca ----7't- - :4 Heating/Cooling System
residence,including county: ❑
282 Lake Inwood Drive 5.Wind Power Device
. Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
. Ciry,State ZIP Code County
0 ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 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.
1915 N Thomas Avenue Not available in all counties.)
Address(Number and Street) q/� 06 Evansville, IN 47711 Vanderburgh AK) -1Z— 06 _?_OZ ooI - 6 — 02S—
City,State LP Code County
Primary property owner contact name. E-mail
•