Homestead_Whitbeck INDIANA SALES DISCLOSURE FORM SDF ID: - - Page 2
MP,,REPARER . . .-ir•;:• :. r _ — — - 'F .- . j
Patricia A Kolb Closing Manager
Preparer of the Sales Disclosure Form Tide
226 W.Broadway St Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 patti.bti(dmw.twcbacom
City,State,and ZIPCade Telephone Number E-mail
r E SELLER(S)`/,GRANTiOR(S) , `__ _ 's' - - a >; '.3- . c . - - -
11 DD Pmoerties I LC
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2068 N Carithers Rd
Address(Number and Street) Address(Number and Street)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and omplete as r fired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
bauut ,
Signature of Seller Signature of Seller
David Dunn Memher (77 /R'/i
Printed Name of Seller S(on Date(MM/DD/YYYY) Printed Name of Seller SIgrpate(MM/DD/YYYY)
S E MAP,P,LIGATION,EE,ORIPRORERTIYOKX4QEQUG-TjIONSag"•IDENITIFYALLIT AP ` 'e 'r"T'u-'
Joseph S.Whitbeck Debra A. Whitbeck II
it J• P I
I. B e -••.. • conveyance document Buyer 2-Name as appears on conveyance document
515 Brownlee Ave. 515 Brownlee Ave JUL 12 2018
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton. IN 47670 /)'� ��rjj -
• THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THI P PERTY. IDENTIFY ALL OFTIOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION \J\
'! ❑ ❑ 1.Will this property be the buyer's primary emestear�
residence? Provide complete address of primary Cf—r4.Solar Energy Heating/Cooling System
residence,including county: ❑
515 Brownlee Ave 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 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 ❑ IZI 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) a i - Oi- �.ot - oOa • y 6 1 -02S
City,State ZIP Code County - C- �,/ V`
Primary property owner contact name E-mail
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