Homestead_Barnerd INDIANA SALES DISCLOSURE FORM SDF ID: __ Page 2
b.PREPARER ,
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 (
City,State,and ZIP Code Telephone Number E-mail
.E.SELLER(S)/GRANTORW ' . • .
Bradley Anders Casandra Anders
Seller I•Name as appears on conveyance document Seller 2-Name as appears on conveyance document
767 F 780 S 767 F 780 S
Address(Number and Street) Address(Number and Street)
Ft Branch IN 47648 Ft Branch IN 47648
City,State,and ZIP Code City,State,and ZIP
Disclosure Act'.
)Signature of Seller Signature of Seller
Bradley Anders g Ll LO t 1 Casandra Anders
Print =r Sig Date(.NH/0a/FYYY) Printed Name of Seller Sian Date(HH/o/YYYn
.BUYER(S)/GRANT S -,._APPLICATION FOR PROPERTY TAX DEDUCTIONS-4 IDENTIFY ALL ITEM I ,P.L
Jeffery S. Barnerd Krlstina L. Barnerd
Buyer l•Name asa ^ onveyance document Buyer 2-Name as appears on conveyance document
67E2 67E2005 AUG 1 5 2919
Address(Number and Street) Address(Number and Street)
1
_
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR ROPERTY. IDENTIFY ALL OF TH AT APPLY.
YES NO CONDITION I YES NO CONDITION
Q ❑ 1..Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of prim rl f✓l 4 S _ rig/Cooling System
residence, including county:
762E 780 S ❑ 0 S.Wind Power Device
Address(Number and Street) ❑ M 6.Hydroelectric Power Device
Ft. Branch, IN 47648 Gibson ❑ E 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
❑ 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 ❑ E 9.Would you like to receive tax statements for this
complete address of residence being vacated, proper 'a-e-mai}?-(P C�t information
including county: ow.Please see instructions for IImore try Lotion.
67 E 200 S Not available in all counties.)
Address(Number and Street) II 23
Princeton, IN 47670 Gibson b^`Ck—lc‘
-1-20 3 Go l ot -02.
City,State ZIP Code County