Homestead_Cortelloni INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:,PREPARER: - _ - _ ,,
LANA C. HARPER CLOSER
Preparer of the Sales Disclosure Form Title
5231 Oak Grove Rd.,Ste.A TOTAL TITLE SERVICES, LLC
Address(Number and Street)
E-mail
,E.SEI IER(S)/GRANTOR(S)
James_Price II
Seller 1-Name as appears on conveyance document. Seller 2-Name as appears on conveyance document
1'-2.,1 4t1e?(\ M SD
Address(Nymber and 1`k t --D t -1 �� Address(Number and Street)
City,
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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".\-----Signatu .eofSeller Signature of Seller
r) ��
James Price II q"'1-6j'0(Jv) Jk
Printed Name of Seller Sign Date(MM/DD/YYYY) _Printed Name of Seller _ _ Sign Date(MM/Da/YYY1)
F.BUYER S` GRANTEES)=APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFYALL ITFlITI;LAT APPLY ,x,
Brian S. Cortelloni f
J
1 .. .,,•;s o convey. e do�/ ent /� Buyer 2-Name as appears on conveyance docu•int ' -"
i1 /I _ i lit (, ,nQ.
Address(�uf b�rany►/�t/e_et) in fte D ...( Address(Number and Street) MAY 2 0 2020
City,State,
E-mail Telephone Number GIBSON COUNTY AUDITORS-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPER .IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION , %ES NO COND1'HOk
❑ 1.Will this property be the buyer's primary ` ❑ 3.Homestead
residence? Provide complete address of primary Er 4.So ar nergy Heating/Cooling System
0 Roresid n e,ir}C� j gunty:
w li1 ❑ ❑✓ 5.Wind Power Device
Addressfllif bf' ndStreet� /� (/r�/ 33 ❑ 0 6.Hydroelectric Power Device
�` a�i1�}+Vi G / `f" /(Q ❑ VI 7.Geothermal Energy Heating/Cooling Device
City tote .PCode County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 08•Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ IZI 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)
0?6 • 17 7- 900 .003. 7 -Dd1
City,State ZIP Code County
Primary property owner contact name E-mail
License/ID/Other Number