Homestead_Wheeler Jr INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.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 (
E-mail
E.SELLER(S)/GRANTOR(S)
Kevin DeJarnett
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2395W100N
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
City,State,and ZIP Code City,State,and ZIP Code
(
perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
aro plete required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Kevin DeJarnett
Printed Name of Seller Si Date{ /DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT
James W.Wheeler.Jr. (,
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
2429 W 100 N
Address(Number and Street) Address(Number and Street) T�
Princeton, IN 47670 0
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 YES NO CONDITION 0/,
❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead OR
residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling System
residence,including county: ❑
2429 W 100 N 5.Wind Power Device
Address(Number and Street) ❑ z 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 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 ❑ 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: /1 e'to err below. Please see instructions for more information.
�� P Not available in all counties.)
Address(Number and Street)
City,StaleZlPCode County ^11-Q a -300 -0 0 l ��-���
Primary property owner contact name E-mail
Number License/ID/Other Number