Homestead_Clore 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)
City,State,and ZIP Code Telephone Number E-mail
-
E.SEL_LER(S)/GRANTOR(S). . " '
Carol J Ritchie-Vaughn Nicholas Lee Ritchie
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
8404 F 450 N -849-4- -4-a8-N- 6 ea' ' ,,-,-,-,•.t- 4,/J
Address(Number and Street) Address(Number and Street)
Francisco, IN 47649 Woe__<<!o._.., .9 2 j 7
E-mail _
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an complete as re uired b law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
,Vaii . i ' - fi itilin .-z.,--,-,rs pe.e.4-,W„ ,. ."--Z . -
Signature i
eller Signature of Seller
Carol J. Ritchie-Vaughn /Gi���,, /. 7o/� Nicholas Lee Ritchie ��•--,3o-�.o/j
Printed Name of Seller Sign ate(MM/g/Db/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F BIJYER(S)LGRANTEE(S)=.APPLICATION FOR PROPERTY TAX'DEDUCTIONS_IDENTIFYALLITEMS THAT APPLY..
Jordan T. Clore
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance m t
1477NCR825W f�._, $ 4
Address(Number and Street) Address(Number and Street) ..
Hazleton, IN 47640 nEC 3 1
TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF•Ig6 a t'N.1._
,,, v(i4
YES NO CONDITION NO CONDITION — AUDITOR
0 ❑ 1.Will this property be the buyer's primary Z ❑ 3.Homestead
residence? Provide complete address of primary 4.Solar Energy Heating/Cooling System
residence,including county:
8404E 450 N ❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ Z 6.Hydroelectric Power Device
Francisco, IN 47649 Gibson ❑ [ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 1 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, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) /�/
City,State ZIP Code County 06 I(`Qk�X(0— `Con . �79 VI 7
Primary property owner contact name E-mail
Number License/ID/Other Number