Homestead_Canillas (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Britany N Barnes Agent
Preparer of the Sales Disclosure Form Title
226 W Broadway Broadway Title, Inc
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 Britany@Broadway-Title.com
City.State.and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
Patricia D.Vanoven
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
911 S Jefferson St
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and yepiplete as required by aw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act": •
•
Signature of Seller Signature of Seller
Patricia D.Vanoven /,9 / 9-/pcl
Printed Name of Seller Sian Date(sort/OD/!YM) Printed Name of Seller Sian Date(Hst/DD/1T17)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY-TAX DEDUCTIONS-IDENTIFY ALL ITEMS GY T�`i fl •
Jaffei Khen L Canillas Shirmar G Canillas _/ tl i i
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on Conveyance document
407 N Race St 407 N Race St DEC 27 ' 18
Address(Number and Street) Address(Number and Street) �n'
Princeton, IN 47670 Princeton, IN 47670
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
❑✓ ❑ 1.Will this property he the buyer's primary ❑✓ ❑ 3.Homestead
residence? Provide complete address of primary ❑ 2 4.Solar Energy Heating/Cooling System
residence,including county: ❑
108 S Broadview Circle 5.Wind Power Device
Address(Number and Street) ❑ ❑✓ 6. Hydroelectric Power Device
Princeton, IN 47670 Gibson
❑ ❑✓ 7.Geothermal Energy Heating/Cooling Device
City State ZIP Code County
❑ 02.Does the buyer have a homestead in Indiana to be ❑ 2 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) a6
City,State ZIP Code County
Primary property owner contact name E-mail