Homestead_Edrington INDIANA SALES DISCLOSURE FORM SDF D Pa e 2
� }�y� �ij ...,,� i.,", .-t- '."w Vic. _.... W '+C-
.+rlt ��J,[t�r?'� _. ?"-r. ��'"�r` *"�. _"A+r�t:'.''� -,_.'_ � -a"�t . --''"^' _ ��- �'�t.': ^emu
Jeff Fox Title& Escrow Processor
Preparer of the Saks Disclosure Form Title
3930 Mezzanine Drive, Suite C Columbia Title, Inc.
Address(Number and Street) Company
Lafayette, IN 47905
v WZ Y '�.-.�=..a_ -44 .fg ;?.F .�vvrWW3
Haskell W.Davis Robin_D. Davis
Seller 1-Name asappea nconveyancedocument Seller 2-Name asa ears on conveyance document
2�1 t CO Qd uoCw\ I 0 21, E.-Krood 0Jai::
Acidr'_ (Number dStreet) _Address(Number and Street)
' i,1 Rt o OA-0A , 1 13 L 7 3 - Pit n ce tr t, I t-M2-1 tD
Telephone Nu her 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 c plete as required by law,and is prepared in accordance wi IC 6- 1-5.5,"Real Prop ty Sales Disclosure Act".
6.4
Signature of Seller Signature of Seller
Haskell W.Davis S I- Robin D, Davis ,,5-/-20
Printed Name o(Seller Sign Date(MMfDn YY Printed Name of Seller Sgn Date(MM/DD/YYYY)
J) t`'?PlIG .]O,ht.f OR 130Pt1 `I'.TsAX'UI `iD trf to l �� _
Jeremy S,Edrington Paige Edrington
nce document Buyer 2-Name as appeals on conveyance document
2487 East Top Hat Road 2487 East Top Hat Road
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES CONDTrr _
IZI ❑ 1.Will this property be the buyer's primary �E 3.Homestead FILED
residence? Provide complete address of primary ❑ ® 4., o a i
residence,including county:
❑ May04 2020
2487 East Top Hat Road 5.Wind Power,Device
Address(Nu,nberand Street) ❑ j 6,Hydroelectric Pow( i --
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal EnergyGIBSON COUNTY AUDITOR CB
City,State ZIP Code County
El 02.Does the buyer have a homestead in Indiana to be ❑ El 8• Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ RI 9.Wou i -eceive tax statements for this
complete address of residence being vacated, property via e-mail?(Prov ntact information
including county: below.Please see instructions for m e information.
Address(Number and Street) 2( 6-12-1J agee,.jdicL(f1Y,i.eS627
City,State ZIP Code County
Primary pro pertyowner contact nmrre E-mail