Homestead_Hunter INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
iO::PREPARER? • - -` - --..; ".• -
Leon C. Stone President
Preporer 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(Wmw.twcbc.com
City,State and ZIP Code Telephone Number E-mail
LE;ISELIiER(S)'.GRANTOR(S) . . ,'---,. . -_=. - _ —7
Clayton Tate
Seller]-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
305 West Warrick Street
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 complete//as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
(ureofS 4-vv /
Signature of Signature of Seller
Claytnn Tate 0773/ati
Printed Name of Seller Sion Date(M.N/DaMmr)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
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 ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
305 West Warrick Street
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ 0 7.Geothermal Ener Coaling I- 'ce
City,State ZVPCode County 'may{},' B .V
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a d 9d ti r!,f�r 7
vacated for this residence? If yes,provide ❑ 0 9.Would you like to receive tax scat-ern- .. or this
complete address of residence being vacated, property via e-mail?(P(qid e c to t'nformation
including county: g below.Please seeinstrUZ6rbnsft /�I information.
/� ^ Not available in all counties.)
Address(Number and Street) I� I7I' -a03-oOl'1.56 �y-jr
hi/ a t/ (p u-
City,StateZlPCode County GIB- ,f CDUNTV AUDITOR
Primary property owner contact name E-mail