Homestead_Taylor (13) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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D?:PREP,ARER;'G - ,_z, r
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(a'�broadway-title.com
City,State,and ZIP Code Telephone Number E-mail
eE_SELLER(SI/,GRA D-1115) -. �,T *7- -/ __--77 —_t- - . '
Amy Mirhellp(Fitch) Stough
Seller I-Name as appears on conveyance document Seller 2-Nome as appears on conveyance document
702 Wilson Ave
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 complet as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Sjgnatu of Seller �+ /1 Signature of Seller
Amy Michelle(Fitch)Slough I V —2IR-ip
Printed Name of Seller Sian Date(MM/DD/YYYYI Printed Name of Seller Sian Date(MM/VD/YYYYI
S'F.hB.U,YER(S)/GRANTEE(S)LnAPP,EICATIONwF,OR.PROPERTIYTAKtiEDUC-TIONSa.ID.ENT.1EWAEL',IT+EMS_THAT'AP L-Y I
Jamie S. Taylor
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance do ment
Ashton CT S4
„_Add Address(Number and Street) -_ Address(Number and Street)
Princeton, IN 47670 -
' 'SHE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL V , THAT APIffr8
YES NO CONDITION YES NO CONDITION Oct C
• 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead - -
residence? Provide complete address of primary 0 WI 4.Solar Energy Heaf@}g/Cooling System
residence,including county: O
❑ 0S.Wind Power Device 'P
702 N Wilson Ave
Address(Number and Street) ❑ Q 6. Hydroelectric Power Device
Princeton, IN 47670 Gibson 0 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 1 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 71 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)
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- D 3 jy�S- oco -lDSCI - 02,E
City,State ZIP Code County
Primary property owner contact name E-mail