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Homestead_Golday INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 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 ( City,State,and ZIP Code Telephone Number E-mail Lail-Ma Jeffery A Storckman Susan E. Storckman Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 699E150S 699E150S Address(Number and Street) Address(Number and Street) Princeton IN 47670 Telephone Number 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 rnquired b law and is prepared in accordance with IC 6-1.1-5.5," al Property Sales Disclosure Act". /'t 5. 1 c cJ'f �—� ! �gofSel r gn ureofSell Jeffery A. Storckman l—/3—,,? 0 Susan E. Storckman /— ,3-2,6Zd Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) F BUYER(S)/GRANT_EE(S)._APPLI all ON FOR PROPERTY TAX;DEDUCTIONS JQENTIFY ALL LITEMSYHAT APPLY_ _ _ :_ _ 1. Donna Golday -, Buyer 1-Name as appears o conveyance document Buyer 2-Name as appears on conveyance docu i•30 VAddreal(Number and S reef) � 7� 70Address(Number and StreetS. r O O City,State, E-mail Telephone Number , P" E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT I °`,�1 YES NO CONDITION YES NO CONDITION_ G 1.Will this property be the buyer's primary ° 13, ❑ p p ty y �._�'-�-0-3:-Homestead G\�5' residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System res ence,incl•din count ,,f � k)4 �L� / ❑ ❑✓ 5.Wind Power Device A drn�ss( berandStreet) ❑ 0 6.Hydroelectric Power Device /j b 0 ---'.Iv L7r'7 0 ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 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 ❑ 0 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) at � -..,.•-_-__ 7 City,State ZIP Code County � ���' `_��� 3 , + �" —S, 0 Primary property owner contact name E-mail Number License/ID/Other Number