Homestead_Maier (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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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 _(
I E-mail
I i
gSEEI3ER(S)%GRANT,OR(Sfrue • 4' rs ',�.
Everett Montgomery Bin Montgomery
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
117 E Pine Street 117 E Pine Street
Address(Number and Street) Address(Number and Street)
Princeton IN 47670 I Princeton IN 476701
City,State,and ZIP Code '
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 req ired by law,and is prepared in accordance with
l/I�111-5.Si"meal Property Sales Disclosure Act".
Signature of Seller attire of Seller FvPrett Montgomery 3-- /S-ii Elfin Montgomery 3/Ib /1
2019
Printed Name of Seller Sign Date(MM/DO/YYYI) Printed Name of Seller Sign Date(MM/DO/YYYY)
4FiBU;YER(S)GRAN:TEE(S)) APP.,LICATIONIFOR)PROPERTiY4TAX{I)EDUGTIONSFIOENWilFdYeKLIE TEMStTHATiABPL(Y( e -'. .c
Matthew Maier ,-1
Buyerl-Nameas appears an conveyance document Buyer 2-Name as appears or,.anvey c ocumE
250 S Gibson Street —
Address(Number and Street) Address(Number and Street)
Princeton. IN 47670 MAR 1 9 2019
NuDISCLOSUEREhone er FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY d1LDE AUDITOR
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county:
302 N Eighth Street 0 0 S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
_Princeton, IN 47670 Gibson._ ❑ 171 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 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 ❑ 0 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) �I_
City,State ZIP Code (7C , a f 11 €03 -600 ,Eef,9- Da$
Ci 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
License/ID/Other Number