Homestead_Couts ' C
INDIANA SALES.DISCLOSURE FORM ..-. .SDF ID: Page 2
D PREPARER .
Jerry D.Stilwell Attorney at Law
Preparer of the Sales Disclosure Form Title
302 N. Prince Street Stilwell Law Office
Address(Number and Street) Company
Princeton, IN 47670 .
mail
• • ,•
Michael L. •
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
11
City,State,and ZIP Code City,State,and ZIP Code ;
Telephone Number . . E-mail Telephone Number E-mail
Address(Number and Street) Address(Number and Street) i
and coMplete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". 1
1 1 t...A 2 s,i f . ,--2—4-----)t .
Michael L.
Un'der nehalties of perjury,Ihereby certify that this Sales Distlostire,to the beSt.of My knoWledge and belief,is trne,correct ,
Rexin!_ i
Date .� I. r. 1
-----•FJIs-- - - - - ----- -- 4 ' ii ' a
Seth Couts -t _ J, .. — — --
. i
er 1-,•••> .•pears on conveyance document Buyer 2-Name as appears on conveyance document 1
10010 W 565 S JAN 0 7 2020
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665
GISSON.COUNTY Al ln!TOF
Telephone Number E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS RO RTY. IDEN THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary li z ❑ 3.Homestead
residence? Provide complete address of primary U izi 4.Solar Energy Heating/Cooling System
residence,including county:
❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ WI 6.Hydroelectric Power Device
❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 02.Does the buyer have a homestead in Indiana to be
❑ Z 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 171 9.Would you like to receive tax statements for this
complete address of residence being vacated, prope ct information
including county: e ow.Please see instructions for more in ation.
Not available in all counties.) .
Address(Number and Street)
City,State ZIP Code
;6 - I i -o0E - too-00 0I )�ro21 1
County i
License/ID/Other Number