Homestead_Bland INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
{D)RREPARERtf . >Fe'7e-. . -., '.'I 4,• z _--.> f - ' - -'ice f, -. , _ eat t.-. a- - a:--
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(tHbroadway-title.com
City,State,and ZIP Code Telephone Number E-mail
�E45ELGER(S')�GRt1NTiQR(SJT _--.' . -z` �t s Ef'` 1
Candace J Howard
Seller I-Name as appears on conveyance document Seller 2-Name as appearson conveyance document
9900E450S
Address(Number and Street) Address(Number and Street)
Oakland City IN 47660
E-mail Telephone Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required
/byq law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller 00 Signature of Seller
Candace J Howard /2 - 03 -7.0 IcY
Printed Name of Seller Sian Dote(MA/OD/YYYY) Printed Name of Seller Sian Date(MM/DD/ririt
LF BU,MER(SVGRA'NTEE(SlkAP,P,LICATIlOIARO REOPLERTIY6TODERIAKIIONS IIDEIV FAWLILYITEMSpTHATAE$I;Y • -
qq gy �
/Kevin BIand �• 6 b"{
Buyer 7-Name as op - an conveyance document Buyerl-Name as appears o onventfqarana
221 W Monroe St.Address(Number and Street) Address(Number and Street) DEC 5 2018
Princeton, IN 47670
E-mail Telephone Number (V:ISOM COUNTY AUDI I Utt E-mail
• THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PR . ENTI T ETHAT APPLY.
, YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary g/Cooling System
residence,including county:
❑ ❑✓ 5.Wind Power Device
Address502 W Pumberankney St
dS 6. Hydroelectric Power Device
(Number and Street) ❑ Q y
Princeton. IN 47670 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 7 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 ❑ E 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)
2b-IZ— o7-303 -6O3eZoo -o2S
City,State ZIP Code County
Primary property owner contact name Small
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
Number License/ID/Other Number