Homestead_Hill (21) 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 I 812-386-1687 Britany@Broadway-Title.com
City State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) ' - •
Jeffrey A.Hill,Trustee
Seller I-Name as appears o/nn ranrnn eeyance document Seller 2-Name as appears on conveyance document
Address INumber and Street) Address(Number and Street)
'WS)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and com lete as re!aired y law,and is prepared in accordance with IC 6-1.1-S.5,"Real Property Sales Disclosure Act".
Vq tu.*�%- ^ Signature of Seller
Jeffrey - & RDA
Printed Name o Seller agy I Date(w.u/ooM ) Printed Name o Seller lit Sian Date(M.M/DO/m YI _
F. BUYER(S)(GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS nL A9 ' : -
Alexander 8. ill 1 Buyer I-Name as appears on conveyance document Buyer 2-Name as appears an c y
Jif p7 . -. (.? o w. , nt
tLl`
pAddress(Number and Street) Address(Number and Street) a ��
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDEN1'I FY ALL OF THOSE THAT APA1.
YES NO CONDITION YES NO CONDITION G\
B ❑ 1.Will this property be the buyer's primary ❑✓ ❑ 3.Homestead
residence? Provide complete address of primary ❑ d 4.Solar Energy Heating/Cooling System
residence,including county: ❑ IV
802 W McCarty Road S.Wind Power Device
Address(Number and Street) ❑ v 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑
7.Geothermal Energy Heating/Cooling Device
City State IP Code County
❑ 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 ❑ V 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)
a . — 11
Gty,State ZIP Code County
— 13- 30�- 0t3.-loa-oag
Primary property owner contact name E-mail