Homestead_Smith (25) INDIANA SALES DISCLOSURE FORM SDF ID: 26 - 18 - 1121933 Page 2
Jay D.Walden Attorney at Law
Preparer of the Sales Disclosure Farm Title
i 202 E.North Street Law Office of Jay D.Walden
Address(Number and Street) Company
Grayville, IL 62844 618-375-2611
jwalden@jaywaldenlaw.com
City,State,and ZIP Code Telephone Number E-mail
�E:SEL•tiER(S)/GRANTOR(S]'_ • _
Ryan Jon Smith
Seller I-Name as appears on conveyance document Seller 2-Name as a ears on conve
yance eyonre document
10678 W.600 S.
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c plete as r quir d law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
}Sign ��i
(-Sgn ret/Se' C-� Signature of Seller
Ryan Jon Smith /b-31 - 1 6
Printed Name of Seller (Sign Dare MM/DO/VYYYrJ Printed Name of Seller Sian Date(MM/DD/Mr
:PS;BUXER(S)/GRANTEE(S)'--APRUCAT10N.E0RPROPER 117iTAX,DEDUCTIONS=IDENT WY:An.ifF1 -,,APPLY __ ___
Jerry R.Smith Kathryn S.Smith ll
Buyer I'Name as appears on conveyance document Buyer 2-Name as appears on c ey ed&vment ��
10744 W.600 S. 10744 W. 600 S. \ , 5 �� ,�p4'
Address(Number and Street) Address(Number and Street '
Owensville, IN 47665 Owensville, IN 47665 J# '',P"
YES NO CONDITION YES NO CONDITION G\``ttll
® ❑ 1.Will this property be the buyer's primary m ❑ 3.Homestead
residence? Provide complete address of primary ❑ ® 4.Solar Energy Heating/Cooling System
residence,including county:
10678 W.600 S. 0 m 5.Wind Power Device
Address(Number and Street) 0 ❑ 6.Hydroelectric Power Device
26
Owensville, IN 47665
0
m
7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
m ❑ 2.Does the buyer have a homestead in Indiana to be ❑ m 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ ❑ 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.
10744 W.600 S. Not available in all counties.) (�^
Address(Number and Street) Oa\
Owensville, IN 47665 Gibson h f_'0O_ coN.1 `-
Jerry R. Smith �a A�— J
City,State ZIP Code County
Primary property owner contact name E-mail