Homestead_Cox (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER,
Sheri L. Greene
Preparer of the Sales Disclosure Form Title
1122 E. Ohio St
Address(Number and Street)
E-mail
E SELLER(S)'/GRANTOR(S)._ _. :_ • :
Patricia D.Vanoven
Seller 1-Name as appears on conveyance document Seller -Name as appears on conveyance document
916S Hall St
Address(Number and Street) Tj;ss(tI n be nd eet
•
City,State,and ZIP Code „City,+q,4..,an.1,1 % od
E-mail Telephone Number 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 reii.ire by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
q., a„),.../i_v_.-,___
!SignatureofSeller f ) Signature of Seller 1
Patricia D.Vanoven 12/ a- 2019
Printed Name of Seller S{qn Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F B_ =•WAX•IVTEE S.—APPLICATION_FOR,PROPERTY X;_pEDUCTIONS-hDENTIFY ALL LTE H T.i'PP _ _
April L. Cox
Buy• e••- . appears on conveyance document Buyer 2-Name as appears on conveyance document
904 N Seminary St DEC 2 7 2019
+' Address(Numberand.Street)'. Address(Number and Street)
Princeton, IN 47670 .
(IBSON S
/Teleph'one Number_/ E-mail Te 7Jl1 U RE-mail
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FO IS PROPERTY. IDENTIFY ALL OF THO HAT APPLY.
YES NO CONDITION YES NO CONDITION
z ❑ 1.Will this property be the buyer's primary Z ❑ 3.Homestead
residence? Provide complete address of prim [j n 4.Solar Energy He • g/Cooling System
residence,including county:
904 N Seminary St ❑ 0 5.Wind Power Device
Address(Number and Street) ❑ E 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ IZ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
El2.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, pro a ert;y_.cia-e maai-I?(P . 'de contact information
including county: •elow.Please see instructions for . e information.
Not available in all counties.)
Address(Number and Street)
—12�G— Itd 3 -000 2-0-1 - otg
City,State ZIP Code Coun 4
Primary property owner contact name E-mail
;' Number License/ID/Other Number