Homestead_Whitson INDIANA SALES__ DISCLOSURE FORM SDF ID _ Page 2
�}Ry�RRyry�;A*AVARR}�K(��]RR 3 'xiv-'�+` �Y f� � t-��ii.'!! tw *3.?"1.�--r�:e--"•�"V. I/ F AUh Y' �ry.��-rw
I:R.•figl.'�-`Tf•C102 .S.w�..Y-•c74ry • t M_ lM 59 �sC Y des iy." .Tw�1 �� �.... I �M Y�...�.
l .Y'i-�' .�' .Yc� "'I Y3 �� Yid ? ��'f t� ��'-'•�'S._
'���� � •'. �te3;�.t ��.s'�.'�a� ��'�,-1cr�z�cra''���y�s �7i?;:`r� '� �� �i�.�r�.��'��,`+.°'
Chris Sullivan Closer ,
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
S .F-w 394.4Sf t r i .u#Ls wy�.z.sf��r'31 3 f mwra: .,„ --.3_,,,-c-- . - .—?(•—u�71c,,'Z.� `` `U .w.gd y 3-.i , 6'•cva�y., a€
Kara Joyce
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
311 S Eastview Street • 311 S Eastview Street
Address(Number and Street) Address(Number and Street)
Ft Branch,IN 47648 Ft Branch,IN 47648
state,and zit'Lode state,and Ltr Lode
r
Telephone Number E-mail
Telephone Number E-mall
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complet
p a requiredy law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller •
Kara Joyce
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
Wri ih,°R,5:>..GItA 1•• �,t i11HP) IOA. -. . . �...,.,,...�......,„ .�Av._
'��' '�OA�x'•-FOjt AItORER'Py�A7{�:DEDU�PIDAISII]�N�P,IR:YALTTFIskrPf`PAA`PiIL��` alW'rata' 4
Chelsea M.Whitson • Justin T. Cooper •
• eyance document Buyer 2-Name as appears on conveyance document
. I 100W 8250S1100W
Address(Number and Street) Address(Number and Street)
Owensville,IN 47665 Owensville,IN 47665
E-mail
THE S LiS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. I LL OF THOSE THAT APPLY.
YE NO CONDITION
Z YES 0 CONDITION FILED
❑ 1.Will this property be the buyer's primary 3.Homestead
residence? Provide complete address of rim Mayo 2020
p p oar nergy Heatin Cool'
residence,including county: ❑ sGl �
Et 311 S Eastview St 5.Wind Power Devic
Address(Number and Street) ❑ RI6.Hydroelectric MARIATY AUDITOR CB
Fort Brancy,IN 47648 Gibson ❑ Er Geothermal Energy Heating/Cooling Device
City,su,rez P Code County ❑ 8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide ❑ ou you I e e tax statements for this
complete address of residence being vacated, property via e-mail?(Provide ct information
including county: below.Please see instructions for mor . formation.
2 6-19-19w1041 0al ti0.26
Address(Number and Street) -
' Chelsea M.Whitson Justin T.Cooper 2.6-jt -f9 t 101 —
City,State ZIP Code County Primary property owner canto ctname