Homestead_Kavanaugh INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
.
'`D PREOA::01, 1
Lynette Murray I Processor
Preparer of the Sales Disclosure Form Title
2301 N Burkhardt Rd First Advantage Title
Address(Number and Street)
'E S. ER N-:,..A.N1-00 ."` 3
Matthew F Smith
ler 1-Name as a rs on conve ante documen 8 Seller 2-Name as appears on conveymi o t nIN-41"
/T NV ber d Street
•k�aNick iy) q--.4(000 Address(Number mrd Street) r17-' 5°City
E-mail Telephone Number v ,' EORl
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledm3bqief,is true,correct
and co to as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real ProperW Sales Disclosure Act".
tgnature of Seller Signature of Seller
Printed Name of Seller I Sim Date Printed Name of Seller Sign Date(MM/DD/YYYY)
_F BUYEf' _ r,1RANTEE,(S)_ PPLI..CAT_ii ',PROPERTY TAX.;DEDUCTIONS=IDENTIFYALL ITEMS THAT'A' la• _ - _
•dam S Kavanaugh 1 Shelby L Kavanaugh -
Bu er 1:Name as appear ,7 co • •.••ument11
Buy - ante as appears on cony ante document
•
tub •
er and St eet) Address(Number and Street)
Qty,
�\
_ 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
4 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of prig ary 0 4.Solar Energy Heatin ing System
... 9r si nce,Inc u m 1 cotricky: a
❑ ❑✓ 5.Wind P evice
dress(Number and Street) ij 6.Hydroelectric Power Device
ity,State ZIP Code t� ❑ 07. Geothermal Energy Heating/Cooling Device
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 to receive tax statements for this
complete address of residence being vacated, proper vl ontact information
including county: below.Please see instructions o J-mation.
Not available in all counties.)
Address(Number and Street)
��-13-6_Qoa, .00-Oil City,State ZIP Code County