Homestead_Britton (2) •
. ` ;01ANA DISCLOSURE FORM SDF ID:
/D.PREPARER Paget
LyYrPI 1'c�e:rs <<)rclina +
Prepares of the Saes Disclosure Form T'le �'�11 "1 -1 Nkin 5-tr M ar*1( 1 :Re I LLL_dress(Number and Street)
E-mail
I I
E.SELLER(S)/GRANTORIS)
DONAI D BRITTON
Seller 1•None as appears on conveyance document JFNNIFFR RRITTON
Seller 2-Name as appears on conveyance document
3849 South State Road 65 1849 South State Road 65
Address(Number and Sow,) Address(Numberand Siren)
OWPf15Villp IN 47665
mail
perjury,)hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comple as required law,and is prepared In accordance with IC 6-1.1-5.5,"R operty Sales Disclosure Act".
Slgnamre of Seiler -T �1:1.,L J�-t y
Cr\)
SignreofSeller
hfinAk A I kAkr4.1 .3-,r7- I/j 1enn, fe.- 3-1,:1-1-„n �.
- Printed Name of Seller Sinn Date(AN/ONYYTE) Printed Name of Seller Sh -D��M/ l
GA8R1R(S)/GRA S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY Date[" NDmrn
U0NonLan
NLD
" ce document Buyer 2-Name as appears on conveyance document
3849 South State Road 65
Address(Number and Street) Address(Number and Street)
Owenuville,IN 47665
E-mail Tr a um
T SALES DISCLOSURE FORM NAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TH PROPERTY. IDENTIFY ALL OF THO TAPPLY. Apr 1Zr,_ ?G�� E-mail—
HE
YES NO CONDfON YES NO CONDITION —
❑ 1.Will this property be the buyer's primary 0 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary
residence,including county: in 'rgY Heating/Cooling System
36-14 S 4-_)0 lc 7 0 a 5.Wind Power Device
Address(Number and Street) _ 0 El 6.Hydroelectric Power Device
7�.,�..,S, ilk 4IN �17Uu� C_%k105Nr
cn.smunPCode County ❑ Q 7.Geothermal Energy Heating/Cooling Device
Q� 2.Does the buyer have a homestead in Indiana to be ❑ Q 8.Is this propertya residential rental property?
vacated for this residence? If yes,provide ❑ (g 9.Would at.like to eceive tax statements for this
complete address of residence being vacated, roperty via e-mail?(Pro ntact information
including county: below.Please see instructions for a information.
Not available in all counties.)
Address(Number and Street)
an State ZIP Code 26-10-36-101-0087-021
County
Primarypropern owner E-mail
Number License/ID/Other Number