Homestead_Bell (4) INDIANASALES DISCLOSURE FORM SDF ID: Page 2
g - - a....;,y 7 er t,- -am. -vr ae_ a we. > -
�D.,FREFARER�" ;. .ts ; - �' .( .� :.->v�- �� =��s= ,�'� =' ��.-��.sr �.-�-h�.aa
Timothy Shea Closing Services
Preparer of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
City,Stutz,.wr ---it 'mC,iand ZIP Code y� Telephone Number E-mail
L. b,, 3L�r�i lactilial `3s ` n ahgfp r ,.
Timothy John Martin
Seller/I-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
,f D/ S NI 6? for! 4'<nc/
ddress(N mberandStreet) Address(Number and Street)
y7///f' State,and ZIP Code
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
4r ,
ete law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Sellerhm Martin /V J (fU
Printed Name of Seller Sign Dote(MM/DD/YYYI) Printed Name of Seller Sign Date(MM/DD/YYYI)
ilia ltYEWSWGRANTEEFS)WAP.PLlIGATIONIFORIPRORERTY+TAX4DEDUCTIONVIII ENTIFYIAlithITEMS THAVABP.I Y
Misti I. Bell
er]-NNa�a �� 11,, �on conveyance document }� Buyer 2-Name as appears on conveyance document
Address(Numberd#auttreet)"-' \n� �T Address(Number and sweet)
•
O3 1L\nPYQ
E-mail
Aug O9-2019
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROP . IDENTIFY ALL OF THOSE THAT APPL ,
Y
�
ES NO CONDITION NO CONDITION
0 1.Will this property be the buyer's primary 3.Homestead GJgSON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ 4.Sulat ETrergyiieeating/Cooling System
residence,including county: ❑
214 V✓ Walnut St m 5.Wind Power Device
Address(Number and Street) ❑ IZI 6.Hydroelectric Power Device
Princeton, 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
a y State code County 0 B Is this property a residential rental property?
0 2.Does the buyer have a homestead in Indiana to be ❑ El 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide
complete address of residence being vacated, property t?jProvtdeconteet' ormation
including county: b .Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) Isti I. Bell 26-12-07-102-000 . 934-028
City,State ZIP Code County maryproperty owner contact name -mail
Number License/ID/Other Number