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Homestead_McEllhiney (2)
INDIANA SALES DISCLOSURE FORM SDF ID: - Page 2 '7))il REFARER i3 '�a. tti F >. . - .`7 -- - Leon C. Stone President __Prepare,of of the Sales Disclosure Form Title 226 West Broadway Street Broadway Title, Inc. Address(Number and Street) Company Princeton, IN 47670 (812)386-1687 btiemw.twcbc.com City,State,and ZIP Code Telephone Number E-mail ;EZ::SELL°ER(S)'f,GRANriEoR(S)) - �: ... e- ,, ..;;: •.., a;- Corey M Heldt Shelly Marie Heidi Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 511 East Vine Street 511 Fast Vine 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 co ete y requi d py law and is prepared in accordance with IC 6-1.1.5.5,,"Real Property Sales Disclosure Act". Sign eo S Iler � Signature of C- /// Core Heldt // as/�o/8 ShelyMarie eldt i`/ 6✓!o?Oie Printed Name of Seller Sian ate(x.��I//LIWYYYY) Printed Name of Seller Sian Die(MM/DD/IYYY) P;BU,YER(S)GRAN;TEE(S)I271P,P,LICATIOMEOR?$ROPERTIVPAX{DEDUCT.10NS ID,ENJTIFYMIli!4REMSST;HAT ?. —r-- Lisa M. McEllhinev _ Buyerl-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 727 East Emerson Street Address(Number and Street) Address(Number and Street) /'/D ....e:464,6 Princeton, IN 47670 `l 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 'rl/f, V - Q ❑ 1.Will this property be the buyer's primary ❑ ❑ 3.Homestead /TOR residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 805 East Vine Street ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Ft. Branch, IN 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County IDZ 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 ❑ 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 Primary property owner contact name E-mail