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Homestead_Frederick
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 14))PREP;ARERITt T 71,77-.Ir.ak7- __ 1r.: ..7_ - - — - —_ ,_ --j Patti Kolb Closing Manager Preparer of the Sales Disclosure Form Title 226 W Broadway St Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 812-386-1687 patti.bti(emw.twcbc.com City,State,and ZIP Code Telephone Number E-mail SEL''LER(S)T/.GRt1TOR(S)C"-1 r 7177 '"-` ... 7 ? _ �, r . 7 `r: _-- j Weber Investments II C Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1017 W 150 N Address(Number and Street) Address(Number and Street) Princeton IN 47670 Disclosure,to the best of my knowledge and belief,is true,correct 7 a mple{tte aass/requir d by I is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ignaNrea Se lel r �l(�!//1,J/ Signature of Seller Pamela K Weber Member 8- q- 20 18 Printed Name ofSeller Sian Date(MM/DD/YYYYI Printed Name of Seller Sian Date IMM/DD/YYYf LP.!BUYER(S/,GIANTEE(S) ArP,PL'ICATION}FORIPROP,ERTIY6PATIEDU.GT ONS I DENTIFYIAl.r.ITIEMSiTHATL!AP,RLYF. -t° -t _ ` 1 James H Frederick Lori A. Frederick Buyer 1-Name as appears on conveyance document Buyer 1-Name as appears on conveyance docu 305 S Wood St. 305 S Wood St Address(Number and Street) Address(Number and Street) Patoka, IN 47666 Patoka, IN 47666 �*d P • ..' THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL 0FTItha5T PLY. , I. YES NO CONDITION YES NO CONDITION COt„ -,rrv."'-H IZI ❑ 1.Will.this property be the buyer's primary 2 ❑ 3. Homestead -10 residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling Sysrt l residence,including county: ❑ 305 S Wood St 5.Wind Power Device Address(Number and Street) ❑ 0 6. Hydroelectric Power Device Patoka, IN 47666 ❑ g 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 7 2. Does the buyer have a homestead in Indiana to be ❑ 8.1s 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 including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) City,State ZIP Code County Z10-04 _ �5 -)O / -coo /s' 5 - o2_6 Primary property owner contact name E-mail