Homestead_Childress INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER •
Leon C. Stone President
Preparer of the Sales Disclosure Farm Title
226 West Broadway Street Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 (812)386-1687
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTEE(S) i. •
Amanda J Veatch
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
149 W 350 S
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
Telepho Number E-mail Telephone Number E-mail
Under :enal. :s of t -r, ry,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c/. ple .:v. ed by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
lit r
Sig ature of Seller Signature of Seller
Atp3nda J Veatch D///S4-o/5
Printed Name o Seller Sion Date(MI/DO Printed Name of Seller g� e(xx o
F.BUYERS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITFS'pHAff AP `
Shan W.Childress Elen A. Childress A JL.i
Shan
on
conveyance document Buyer 2-Name as appears on conveyance document
719 Lancaster Court 719 Lancaster Court JAN 1 8 2019
Address(Number and Street) Address(Number and Street)
Georgetown, KY 40324 GCOraetewn, KYde �/�.�
E-mail
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---R0—COYOFfIONL
2 ❑ 1.Will this property be the buyer's primary WI ❑ 3. Homestead
residence? Provide complete address of primary • p4 •. o ar nergy Heating/Cooling System
residence,including county: 0
149 W 350 S 5.Wind Power Device
Address(Number and Street) 0 IZI 6. Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 2.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)
4 -Id • 31 _ (Do - toy. isi -U1- 7
City,State ZIPCode County
Primary property owner contact name 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 by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".(Note:
Spouse information,Social Security and Driver's License/Other numbers a of necessary
yif no Homestead Deduction is