Homestead_Fougnies iNDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D':PREFARER.,' .,. _ -.. . 4_ ` : - 7i` _-_... - _ .., -__- ...
SHERI L. GREENE
Preparer of the Sales Disclosure Form Title
1122 E.OHIO ST
Address(Number and Street) Company
PRINCETON, IN 47670
E-mail
E:SELLER(S) .GRANTOR(S):,.- _ __.� 1=_ _- _ ___v,_._ -.. .;_j
LYNN FLPFRS CYNTHIA FLPFRS
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2352 F WARRFNTON RD 2352 F WARRFNTON RD
Address(Number and Street) Address(Number and Street)
HAUBSTADT. IN 47639 HAUBSTADT, IN 47639
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 comple as
equired by law,and is prepared in accordance w' 6- 1-5.5," 1 Property Sales Disclosure Act".
. ,.
,ifrif ,144"-----
`. •ller ig aturesfSeller L
IYNN Fl PERS Cj2/ 12/2019 CYNTHIA ELPERS /A / Z-/2019
Printed Name o Selle Sign Date(MM/DD/YYYY) Printed Name of Seller *Sign Date(MM/DD/YYYY)
:F-:_BUY :la GRANTEE ,S _ PPLICATION_FM PROPERTY_TAX`DEDUCTIONS wIDENTIEY ALL IT IS THAT APPLY_.-i'__,.rv_ ._,.
:ABRINA FOUGNIES
Buyer 1-Name as appears.• -'once document Buy a -. s m•
n e
•• ":•',VIEW CIRCLE DR _
Address(Number and Street) Ad ss( u ii.,•:I rev.:
PRINCETON, IN 47670
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTI M :-- OFT.`0 E A A..
YES NO CONDITION NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead DEC 0
residence? Provide complete address of prima PI 1p ,., -_:-_-•• - : ng/Coolin S
residence,including county:
106 S BROADVIFW CIRCLF DR ❑ ❑✓ 5.Wind Power D i
Address(Number and Street) ❑ Z 6. Hydroele - QQDTe�.AUDITOR
PRINCETON, IN 47670 GIBSON ❑ Z 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 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 ❑ Z 9.Would you like to receive tax statements for this
complete address of residence being vacated, • • -, - `-- - . ' • 'de contact information
including county: below.Please see instructions for • f 'n ormation.
Not available in all counties.)
Address(Number and Street) �� ��
6-\1--11--301-o o. 2--0
City,State ZIP Code C
Primary property owner contact name E-
-- ----_ — Number License/ID/Other Number