Homestead_Hicks (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
_D.PREPARER
Britany Barnes Agent
Preparer of the Sales Disclosure form Title
226 W Broadway Broadway Title, Inc
Address(Number and Street)
E-mail
E.SELLER SyGRANTOR(S)
Secretary of Housing and Urban Development
Seller I-Name as appears on conveyance document Seller 2-Name as oppem7 on can veyanre document
2401 NW 23rd St.Suite 1D _
Address(Number and Street) Address(Number and Street)
Oklahoma City,OK 73107
City.State.end ZIP Code City,State,and ZIP Code
Telephone Number 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 required by law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
Signarnr[ofSer r7 Signature of Seller
_� ,.. ....h Elc / / /
Printed Nome a'Seller _ Sian Date INSI/O 11111 Printed Name of Seller Sian Date l.efoom`Y)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
James M.Hicks
Dwyer I-,Nome as appears on conveyance document Buyer 2-Name as appears an canveronre document
125ECaniff Ct
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
City,State,end ZIP Code City,Stare.and ZIP Cade
Telephone Number E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY.ALL OF THOSE THAT APPLY.
YES NO CONDITION , YES ,0 CONDITION
❑✓ ❑ 1.Will this property be the buyer's primary ✓ ❑ 3 itemrvPad
residence? Provide complete address of primary ❑ a 4.Solar Energy Heating/Cooling System
residence,including co_un-t1 1OR TPXAI i-
314 E 350 S DULY EN I c 5.Wind Power Device
AddressorIbNcrandstreer)Subject to final acceptance foySraii,ierth- ID6.Hydroelectric Power Device
Princeton, IN 4i670 dcrofF�I- b ❑ yid
Geothermal Energy Heating/Cooling Device
Ciry,State ZlP Code — County �(
❑ ❑✓ 2.Does the buyer have a h e din ��" �na to be ❑ lslJ B.Is this property a residential rental property?
vacatedfp�thi5 ? If yes,. di•° Dr ❑ 9.Would you like to receive tax statements for this
completP.Mt% s sl ence being s acaaecnty property via e-mail?(Provide contact information
includi a co r$y: below. Please see instructions for more information.
Ircey - --_ Not available in all counties.)
Address(Number end Street)
(,_, a-ac-i-yco-cro- c0as-Oa7
City.State ZIP Code County
Primary property owner contact name Email
Number License/ID/Other Number