Homestead_Christmas (9) 7
/INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.-PREPARER
Britany N Barnes Agent
Preparer of the Sales Disclosure Form Tale
226 W Broadway Broadway Title, Inc
Address(Number and Street) Company
•
Princeton, IN 47670 1 812-386-1687 I Britany@Broadway-Title.com
City,State,and ZIP Code I
Telephone Number 1 E-mail
E.SELLER(S)/GRANTER(S)
Marsha Lynne DeSchamp
Seller I-Nome as appears on conveyance document. Seller 2-Name as appears on conveyance document
Pill/ .(y 0phcer v217o/I Dr 1 v
A' ress(Number and Street) I Address(Number and Street)
,r)n CR4-o71, //V (/-7G7v
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 a1s required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
n
Signature of Seller Signature of Seller
Marsha Lynne DeSchamp CQ I f q LOG/9
Printed Namef Seller !o
Sign Date(MN/o0/YYY1) Printed Name afSelfer M Ls ion Date Lwt/DD/YYIYI
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY e L Ft ltTHJId'A .p1,}siiittt' _
•
Sheila G Christmas
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears an converr�it EeBom'n3,t 9O i
516 N Gibson CD O I L J
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 /1�
E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
❑✓ D f.Will this property be the buyer's primary ❑✓ ❑ 3.Homestead
residence? Provide complete address of primary ❑ ❑✓ 4.Solar Energy Heating/Cooling System
residence,including county:
803 E Water St ❑ B.- 5.Wind Power Device
Address(Number and Street) ❑ [ ' 6. Hydroelectric Power Device
Princeton, IN 47670
City,State ZIP Code Coanry ❑ R- 7.Geothermal Energy Heating/Cooling Device
❑ ❑✓ 2.Does the buyer have a homestead in Indiana to be ❑ D/8, Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ Lei 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: be/ow. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) q
City,State ZIP Code County R 6 r 1 _o 1 — 4o2--Ooo . 6 71 -02,
Pnmary property owner contact name Email
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