Homestead_Troutman • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
' sD PREPARER 4 '1 . s i a4 ML./:. f 5=- r . ?" W'WW, :-
Patti Kolb Closing Manager
Prepares of the SalmOlsdosure Form Title
• 226 W Broadway St. Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 patti.bti(tilmw.twcbc.com
City.State,and ZIP Code Telephone Number E-mail
cE°SELTL'-ER(S)g/GRt1NT0R(S) r;r- t-+7 = -.2- i• s=v.it :T - z;i .%'"_t '-inv - cr-- = 'L';
Marcia C Williams Debra S Lynch
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
313 S Stout St 1461 W 550 N
Address(Number and Street) Address(Number and Street)
Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-S.5,"Real Property Sales Disclosure Act".
"Thh(ri,.t,d��!�U,the?nu) by, lira g5.�j�r e.)-,:F t Gtr.;d. �° -,tc�
Signature of Seller U Signature of Seller
MOrcia R . tAil)iiciwl5 Z,1-I$ DebraS Lynch 8-I-I$
Printed Name of Seiler Slpn Date D-DryD /YYYY) Printed Name of Seller Stgn Date(MM/DD/YYYY)
6FIIBUYER(S)%GR/WIFE(S);sAP-I?LICATION)F._OMPROP:ERTPATAXiDEDUCTTi'ONSTIDENTIKWALL ITEM'SITHATzAP',PI Y
Buyer a Troutman
Buyer]-Name nsappecrson conveyan¢documen[ Buyer Z-Name as appears onmmcyvn¢dac �nt�
965 W 250 W J J
Address(Number and Street) Addrea(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE ITIHA7lPPLY-UU N TY AUDI TOR
YES NO CONOmON YES NO CONDITION
Rif ❑ 1-Will this property be the buyer's primary &( ❑ 3.Homestead
residence? Provide complete address of primary ❑ 2 4.Solar Energy Heating/Cooling System
re v;ce,in udingcQunty: ❑ ❑ 5.Wind Power Device
{J if 3, r - co-7 _Lest)) ❑ ❑ 6.Hydroelectric Power Device
�I „ S' `4—��( L� d ❑ 0 7.Geothermal Energy Heating/Cooling Device
rar State ZIP Cade I County
[ f ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 B.Is this property a residential rental property?
Vacated for this residence? If yes,provide ❑ 2 9-Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
-1 tes t `„c),,,tt ut t,r- below.Please see instructions for more information.
LJ Not available in all Counties
.. eitii't g� , ►.1 i► 2.4-CL—o1 -402-001 254-02.11 .
City,State ZIP Code County
/ Primary property owner contact name - E-mail