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Homestead_Stevens
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 _ - - - -- "-,1-7 T ---- - - - - — ----- . ' - D'P,REPARER.__� � � _ �— i = - 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(rilbroadway-title.com City,State,and ZIP Code Telephone Number E-mail 1E6_SEL`[5ER(SJ/.G NTQR[S)L .-- �- --�--- Bill Fithian Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 156 F 780 S Address(Number and Street) Address(Number and Street) Fort Branch IN 47648 Disclosure,to the best of my knowledge and belief,is true,correct and complete a as required by law,and is prepared in accordance with IC 6-1.1-5.S,"Real Property Sales Disclosure Act". /y Signor a /Seller —� Signature of Seller Rill Fithian -2?- I Printed Name of Seller -Sign Date(MM/DD/YYY1) Printed Name of Seller Sian Date IMM/DD/YYY1l F:;BUYER(S)%GRANTEE(S) AP:P.LIGATIONpEOR PROPERT:Y_TAX4DEDUCTIONS-LID.ENITIEWALL';ITEMS THATr-'APFCYr j Tresa Stevens Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 305 N Second St Address(Number and Street) Address(Number and Street) Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION O ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ ❑✓ 5.Wind Power Device 305 N Second St Address(Number and Street) ❑ Q 6. Hydroelectric Power Device Owensville, IN 47665 ❑ 0 7.Geothermal Energy Heating/Cooling Device City,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. Not available in all counties.) Address(Number and Street) 6 = 1'hot - LIb4- ODD .1D-63d City,State ZIP Code County E-mail Primary property owner contact name Number License/ID/Other Number