Homestead_Marvell INDIANA SALES DISCLOSURE FORM SDF ID: Pape 2
D.PREPARER
Rexanne McCauley Title& Escrow Processing
Preparer of the Soles Disclosure Form Title
3930 Mezzanine Drive, Suite C Columbia Title,lnc.
Address(Number and Street) Company
Lafayette, IN 47905
E..SELLER(51/GRANTOcS)
Patrick Wood Amanda Wood
Selle,b -Name sap on n cyan d ume.. Setter 2-Na ie appea on con' ace riot nt V `.0
Addr iamb Street A (,Yumbe and Street)�{ � p �N c�7ti4 $ I YS1oo I� �(754�
City
E-mail
clnder pe alties of perjury,I hereby certify that this Sale-Disclosure,to the best of my knowledge and belief,is true,correct
n tom e s eq it d h Rw,and is rep ed i acc. Idance Ty IC 6-1.1-5.5 "Real P ape ty Sal Disclosure Act".
. Signature of Sell r Signature of Seller
Patrick Wood by Amanda Wood AIF 7/30/2019 Amanda Wood 7/30/2019
Printed Name of Seller Sion Date(MM/DD/Ym') Printed Name of Seller_ Sion Date(.MM/DD/FYYY)
F. NTEE S -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL 1 ' S T A
Michael F. Marvell
uyer -„ .. ,, on conveyance document Buyer 2-Marne as appears on conveyance document
5853 East 390 North AUG 2.3 2019
Address(Number and Street) Address(Number and Street)
Francisco, IN 47649
City Slate,and ZIP Code City,State,and ZIPCode
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 I Y &1.
0 ❑ 1.Will this property be the buyer's primary 1 0 ❑ 3. Homestead
residence? Provide complete address of primary ❑ IA 4.Solar Energy Heating/Cooling System
residence,including
5853 East 390 North county LT) [1] 5.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Francisco, IN 47649 Gibson LI 0 7.Geothermal Energy Heating/Cooling Device
City,State Zl Cade County
❑ 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, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) r
City,State VP Code County
26 - 66-,? - 30o -000. 4J 7-of?
Primary property owner contact name E-mail
Number License/ID/Other Number