Homestead_Hunter INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Elysea M Ledman Settlement&Quality Assurance
Preparer of the Sales Disclosure Form Title
3930 Mezzanine Drive, Suite C Columbia Title, Inc.
Address(Number and Street)
E?SElibb S AR'ANTQR S ,i;77— - -- _ - r- y ,s-. 17—• :17t h iel7 t p• ;,7•, -r,.5r.—c ,c..-.- ,
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Michael I Coleman
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
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Address(Number and Street) Address(Number and Street)
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City;State,and ZIP Code l City,State,and ZIP Code
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 r uir d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Michael 1 Coleman 4/19/2019
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sian Date(M Alp D/1•YYY
F CinliSF_GRAN11 S)`APPL'IEATIONNIEORRROPERTYCI DEDUGTIONS IDENTIFI:{Qalli Et I 7 "4,0
_
(Lawrence E. Hunter Marla R Hunter
Buye�] Nam;ysr+. r”conveyonce document Buyer 2-Nome as appears on conveyance acumen[
222 East Clark Street 222 East Clark Street Address(Number and Street) Address(Number and Street) MAY 2 2019
Princeton, IN 47670 Princeton. IN 47670
• OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
[f ❑ 1.Will this property be the buyer's primary •0 ❑ 3. Homestead
residence? Provide complete address of primary gy eating/Cooling System
residence,including county:
222 East Clark Street ❑ 05.Wind Power Device
Address(Number and Street) ❑ E 6. Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City;State ZIP Code County
IJ ❑ 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, . e• • via a-mail!(PTtivitJ ntoct information
�n i cludingcoun below. Please see instructions for ma rmation.
20in 3u ulain9 ivat1 Not available in all counties.)
Address mber and Stree 1 _
(117"tile tk1
(IZ'1ll /� /I'�Itia7trF'�% �6-><'Z-Q1-I'1D1-000�4-l> - 02-$
City,State ZIP Code ,unty lir
Primary property owner contact name — E-mail 1
Under penalties of perjury, I hereby certify that this Sales Disclosure, o e lest of my knowledge and belief,is true,correct