Homestead_Kirby INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
_a;P.RERARER _-;. a_`s_- $' r-. at-e-v- t _--rr . -- - 'i ' '�F � )-T,mi li I 'J1 + 'n � - 9. -
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Leon C. Stone President
Preparer of the Sales Disclosure Form Title
226 West Broadway Street Broadway Title, Inc.
Address(Number and Street) Company
Princeton. IN 47670 (
E-mail
E.tSELLER(S)'/GRANTOR(S) -1, c:`-. i JT z. ' _ .74 ,fli- _.i ' '__'.rid-' n: 5--r::ri:S;1;11.2 ,:r_I5{1--
I ouis W Wester q
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on cony
u n[ RYA➢
325 W Pine Street 1 J
Address(Number and Street) Address(Number and Street)
Princeton IN 47670 n( � �.�`
City,State and ZIPCode City,State,and ZIP Code M„
(
E-mail Telephone Number wpXIO nail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledg , eis true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Promt3(b$tl s Disclosure Act".
.14i/ l/
Signature of Seller SX 4 r Signature of Seller
I ouis W Wester
Printed Name of Seller Sian Date(MM/DD/IYYY) Printed Name of Seller Sian Date(MM/DD/YYn)
,FLBUYEIuS) GRAN;TEE(S)_ARPLICATIONTDV!ROPERTytTAX'DEDUCTIONS-4DENTIEVALL:ITEMS_THATAPPEYi_,- - -
4 Craig Kirby`°) Reba Bvrns-Kirby
Buyer I-Names ppears on conveyance document Buyer 2-Name as appears on conveyance document
2 US9flW.- 52705970W
Address(Number and Street) Address(Number mid Street)
Owensville, IN 47665 Owensville, IN 47665
E-mail
THE SALES. ..SURETOftRTR1�A1' E3356B-i0:.1PQ nEERTA1,' s IUCF10•N'S Ft: • . • . a•;LL OF THOSE THAT APPLY.
ES NO CONDITION ► :%• NO CONDITION
Q ❑ 1.Will this property be the buyer's primary Q • 3.Homest•-.
residence? Provide complete address of primary • pg 4.Solar Energy Heating/Cooling System
residence,including county:
809 S Stormont Street ❑/ 5.Wind Power Device
Address(Number and Street) M lja 6. Hydroelectric Power Device
Princeton IN 47670 Gibson -❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code -,vary
IA
• • 2.Does the buyer have a h... -.. in Indiana to be ❑ 8. Is this property a residential rental property?
•ca •. .r is residence? If yes,provide ❑ IA 9.Would. tax statements for this
complete address of residence being vacated, property via e-mail?(Provide cot information
including county: se ow. ' ease se• or more in anon.
Not availablein allcountes.
5270 S970 W co
unties.)
Address(Number and Street) I ^� 2
Owensville, IN 47665 r•ibson aLa-� -‘a -D0 .-C^OJ.' n' _C)
City,State ZIP Code County ,.--'Primary property owner contact name Ey.air
Under