Homestead_DeHaven INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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• Patti Kolb Closing Manager
Preparer of the Sales Disclosure Form Title
226 W. Broadway St. Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670
rE-`.SEL"LER(S1%GRANTOR(S1' <._, -3 rat:,4*.'orK 2 F s_>" "Ft{' . .'.3-=d'l 5- ,7.?.4 '17,1 ;7 l r.77 .74 j
Kathy L Lut7-Edgington
Seller l'Name as appears on conveyance document / Seller 2'Name as appears on conveyance document
1673 Dunlap f)rive 0) ?CFI �'nd;aj e re k I-Rne
Address(Number and Street) `J Address(Number and Street)
_Princeton IN 47670 L'✓9FL S cii/I r X-U '/77/S
City;State,and 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".
bold - -f � 7- 2-L
Signature a Seller Signature of Seller
Kathy L I utz-Edgington
Printed NamjgsySell"_ Sian Date(FIN/DD/}YYI) Printed Name of Seller Sion Date(MMJDD/Y1'Y1
;ERU ER(S)/GRANTEE(S PPLIGATION:FQRFROPERTYTAX•,DEDUCTIONS=IDENTIFY,'ALCITEMSTHATAPP.LY, _._ ' , _ ___ • J
"Aaron Warner DeHaven Trisha Lynn DeHaven
1 Buver1-Name as appears on convyance um ent Buyer 2-Name as appears on conveyance document
f aj'i3 -unlao Or •
Address(Number and Street) Address(Number and Street)
tnce-i-oA =N lb -70 Pc 'snce+GnI a--N �-1-1L( -1O
•
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TH PERTY. IDENTIFY ALL OF THOS T AT APPLY.
YES NO CONDITION YES NO CONDITION J j 2 3 2019
(J✓ ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of prima
eati•.• stem
residence,including county:
1673 Dunlap Drive ❑ 0 5.Wind Pow8ike II-COUNTY AUDITOR
Address(Number and Street) ❑ 06.Hydroelectric Power Device
Princeton. IN 47670 Gibson 0 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 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, pr is e-ulait?-(PFau' e contact information
including county: below. Please see instructions for information.
Not available in all counties.)
Address(Number and Street)
.-- ooZ.B s-0?
City,State ZIP Code County
Pair property owner contact name E- ail