Homestead_Anders INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
_I/PREPARER. C:. -- -.:--"'”--n_ - `.1 1'9..; . —....-. . gir - — -_ F---
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 (
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WsELEER(S)%GRANTOR(s) ,,i7 . i l'.,az .M,j• ±7+t Si7-_ #:e-yr<i A. fi'.i:t *5ii "ev IIaWA: 5_ e!it
Glenn 0 Smith I inda J Smith
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
357E 7SO S 357E '7SvS
Address(Number and Sweep Address(Number and Street)
FORT Br u C i 1•44 y7lo yP F-f- t2amch rN V 70 yg
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Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and ypmplet�as�d by law,and is prepared in accordance with
IC''��6-y1"�;1-S.S�I P o�ales Disclosure Act".
Signature of f Sellerl /�Sign tare of //�
Glenn fl Smith 5/3/�I/� 1 inda J Smith 5/31/ 7
Printed Name of Seller Sian D to(MM/DD/1TYYI Printed Name of Seller Sian bbbate(���fffiiirrr/DD/YYYY)
B: R(s)T/GRANTElistc APPLICATIONTFOR`PROPERTMAX,DEDUCTIONS ,IDENT1FYtALL ITEMS THAT=APP.bY _- _
Bradley D.Anders ¢ Casandra Anders f E D
Buyerl-Nome as appears on cony ante Buyuyer2-Name as appears an ronv m
262 E 780 S
Address(Number and Street) Address(Number and Street)
Ft. Branch. IN 47648 Ft. Branch, IN 47648 MIN 0 5 2019
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS P . IDENTIFY ALL TOM?'NTY AIJDITOR
YES
[.�
NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary [� ❑ 3.Homestead
residence? Provide complete address of prima In 7 4.-Solar Energy Heating/co ling System
hi. residence, cluding county:
tt''yytt ///yyy ❑ ❑d 5.Wind Power Device
eet�V 'r T /i��� / j ❑ 0 6.Hydroelectric Power Device
M' - I a N ❑ 0 7.Geothermal Energy Heating/Cooling Device
teZICode / County
( D 2.Does the buyer have a homestead in Indiana to be ❑ 6. 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 a-mil . e contact information
A.
LT A
r incl_udinn ccounty: i. below. Please see instructions fo e information.
C 47� Not available in all Counties.
}dd(ess Y:epiberpnd ireet zA 476 y g a a6 -\R-lq- q 41- 2�
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Primary property owner contact name &mai