Homestead_Love INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
[1 IRREP,ARER,-- — _-- • . . . - - - . . . ' -.
Leon C. Stone President
Preparer of the Sales Disclosure Form 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;SEL EL°R Sj/.GRANITiOR(S)T .'-- ._ - -- — --- --
Jerry Lynn Naas
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
tirrIsThirSYMEI 1 a943 Al . /00 E .
Address(Number and Street) Address(Number and Street)
Princeton! IN 47670
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 by law,and is prepared in accordance with IC 6-1.1-S.S,"Real Property Sales Disclosure Act".
mm 77j® r
Signature of Ir / ,/ q Signature of Seller
ferry I ynn Naas 3 — T —J /
Printed Name of Seller Sion Date(MM/DD/Ym') Printed Name of Seller Sian Dote(MM/DIV2m)
( k E(MAP,PLIGATIONMEQR{PROPERTIYpTAXWEDUGT,IONS lIDENTIEWALI;ITEM�'SeTHAIIARRI% p- • i
James D. Love .l !� Li,
p y
ri-Nvmens vv nconveyance document Buyer 2-Name as appears on canveyanc a 11„__Ad�J'
•
801 S. Seminary Street
Address(Number and Street) Address(Number and Street) MAR 0 5 2019
Princeton. IN 47670
E-mail Telephone Number CIBSCN COUNTY'A UDITOhF'mml
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. OENTIFY Al l OF THOSE THAT APPLY.
.•
YES NO CONDITION Y NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary 4.S He ng/Cooling System
residence,including county:
321 S Prince Street ❑ 0S.Wind Power Device
Address(Number and Street) 0 0 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
❑ 0 2.Does the buyer have a homestead in Indiana to be 0 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ RI 9.Would you like to receive tax statements for this
complete address of residence being vacated, proper ' (P-co . ontact information
including county: ow. Please see instructions for more ' motion.
Not available in all counties.)
Address(Number and Street) D
City,State ZIP Code 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:
Number License/ID/Other Number