Homestead_Hunt INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
•Di.P.REPARER'ti h-.Ii< _ _67___ t :? -5.�I "A L y-alib'`rIt
Leon C. Stone President
Preparer of the Sales Disclosure Form Title
226 West Broadway Street Broadway Title, Inc.
Address(Number and Street)
E-mail
E.SELhER(S)%GRANTOR(Sj` „ "`_- •`re " _ T r - 71- — ---- -,.r4
William W Byers 7ne I Byers
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
104 W then Street 104 W I lien Street
Address(Number and Street) Address(Number and Street)
Fort Branch IN 47648 Fort Branch IN 47648
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 roperty Sales Disclosure Act".
Signature of Seller oohh �1 Signatur (Seller
William W Byers / - a t - 1 -1 Zoe L yers 2- ,2 /O ' /
Printed Name of Seller Sian Date(M.N/00/YYYYJ Printed Name of Seller Sian Date(M.M/DB/vrr)
:,F: - (S)/GR&-(TEE(S)-,APP:LIGATIONFOR-PROPERTY TAXDEDUETIONS�JDENTIFYALEITEMS'THATAPPLY- _ --
Krista Hunt
Buvei._Lt-iloare ppeerron conveyance document Buyer 2 Name as appears on conveyanc fl QBe"1l
-
4571 S SR 57 Y69 J ;
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660
APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY IDE LEYaILL- OSE THA �
YES NO CONDITION rrf No CONDITION GIB COUNTY AUDITOR
❑ 1.Will this property be the buyer's primary 1j ❑ 3.Home ad
residence? Provide complete address of primary , olar Energy Heating/Cooling System
residence,including county:
4571 S SR 57 ❑ 05.Wind Power Device
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device
Oakland City, IN 47660 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
City State ZIP Code County
❑ 1j 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ (jj 9.Would you like to receive tax statements for this
complete address of residence being vacated, property-via e-maii7TProvide-c tact information
including county: glow.Please see instructions for more a tion.
Not available in all counties.)
Address(Number and Street)
City,State ZIP Code County �
Pn,m..r r[ ner contact name E-
Number License/ID/Other Number