Homestead_Cates (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D P_REPARE_R__. —
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 BELLER(S)%GRANTOR(S)._ �_.
Zachary H. Kolb Seller 1-Name as appears on conveyance document
Jennifer I Kolb f/k/a Jennifer L McConnell
Seller 2-Name as appears on conveyance document
2935 E..lohn Ford Road 2935 F.John Ford Road
Address(Number and Street) Address(Number and Street)
Hazleton, IN 47640 Hazleton, IN 47640
E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as req 'red by law,and is prepared in accordance ith IC 6-1.1-5.5,"eal Protty Sales Disclosure Act".
jgnature of/Seller ignature of Iler
7arhary H. Kolb I I—17^ 19 Jennifer L. Kolb f/k/a Jennifer L. McConnell I 1
Printed Na ors-Selle Sign Date(MM/DD/rrrYJ Printed Name of Seller Sign ate(MM/DD
1.F, ERLS)JGRAN ONTEEO.=APPLICATI FOR PROPERTY TAX;DEDU ON CTIS -1DENTI:FYALL_ITEms THAT APPLY. __ _
6 Jennifer L. Cates William W. King
Buyer 1-Name as appears on convey nce document Buyer 2-Name as appears on conveyance docu
228°West e 228 West Warnock Street
_ Ad ress(1/umber and Street) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670 F 1 'F ,
L.)City,State,and ZIP Code City,State,and ZIP Code
(
2� E-mail
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THiSICROPERTY. IDENTIFY ALL OF THOS -•TAP
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead 4
residence? Provide complete address of pri ary Q ® 4.Solar Ene i ;s:) !.r.ItritilptelaUD R
residence,including county:
2935 E.John Ford Road Wind . er Device
Address(Number and Street) ❑ yj 6.Hydroelectric Power Device
Hazleton, IN 47640 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
El0 2.Does the buyer have a homestead in Indiana to be
Di 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, pro la e-mail?(Provide conta in ormation
including county: se/ow.Please see instructions for more infor. Lion.
Not available in all counties.)
Address(Number and Street)
—Os— -0g5-000633 -0
City,State ZIP Code County
'mary property owner contact name E-mail