Homestead_Maurer D PREPARER
Patti Kolb Closing Manager
Preparer of the Sales Disclosure Form Title
226 W Broadway St Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 patti@broadway-title.com
City,State,and ZIP Code Telephone Number E-mail
`E;SELLERMORA T-0748) _
Sarah Gail Stewart
Seller 1-Name as appears on conveyance document t Seller 2-Name as appears on conveyance document
1256 F Taftown Rd f 5-7 3 5 :3.5D
Address(Number and Street) Address(Number and Street)
Princetori.IN 47670 P r111 ce on 11) 6f7 T
City,State,and ZIP Code i City,State,and ZIP Code
�' mrir
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 corn lete a e "red by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
j
-C C ✓j-
i tureofSeller Signature of Seller
Sarah Gail Stewart 77A /Z02D -
Printed Name ofSeller Sign Date(MM/DD/YYYY) Printed Name ofSeller Sign Date(MM/DD/YYYY)
F BUYFk(ga:P Sala S).,-APP_LICATT011ad PRQnWiTrAX DEDUCTIONS_,IDENTIFY ALT;,ITEMS::;V APPI Y_ r ,':;,,_
/ylor M.Maurer ) Summer L. Maurer
Buyer 1-Namr asappeorson conveyance document Buyer 2-Name as appears on conveyance document
217 E Pinkney St. 217 E Pinkney St
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670
City,State,and ZIP Code City,State,and ZIP Code FILED
812-528-5041 812-528-5041 Telephone Number E-mail Telephone Number JUI 29 2020 E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDE L OF THOSE THAT APP
ie
YES NO CONDITION Y NO CONDITION ll����
0 ❑ 1.Will this property be the buyer's primary C D ❑ 3.Homestead GIBBON I:UUN I Y AUDI I UK Lib
residence? Provide complete address of primary .Solar nergy Heating/Cooling System
residence,including county:
1256 F Taftown Rd El ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 2] 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
WI El 2.Does the buyer have a homestead in Indiana to be El Ej 8.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: bel see-in-stru tions for more information.
217 E Pinkney St. Not available in all counties.
Address(Number and Street)
Princeton, IN 47670 Gibson 6-12-05-400-000. 684-027
City,State ZIP Code County
Primary property owner contact name 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".(Note:
Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.)
Si na e o Bu er1 na a erg S ouse
s f 1 y /P
Taylor M Maurer D 7/Z� Z-0 Summer L Maurer 1 IfLCb110
Printed Legal Name of Buyer 1 Sign Date( M/DD/YYYY) Printed La al Name ofBuyer2/Spouse Sign De(MM/DD/YYYY)
31&z 7W -e.73 7 9 q0 P O I N c2 12J35
Last 5 digits of Buyer 1 Driver's State Last 5 Digits ofSocial Security Number Last 5 digits of Buyer 2/Spouse Driver's State Last 5 Digits ofSocial Security
License/ID/Other Number Number License/ID/Other Number