Homestead_Wills INDIANA SALES DISCLOSURE FORM SDF ID:
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KAREN HARBISON VP
Preparer of the Sales Disclosure Form Title
803 E STATE RD 68 THE HAUBSTADT STATE BANK
Address(Number and Street)
E-mail
.E:SEI LER(SVGRANTOh[SY1-" • , ,;t:r ;"'"-',,;`'.7'-, 5.1:. - :. .
I ARRY R PATTERSON WANDA F PATTERSON
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
401 SWAT LOWFIFLD DR 401 SWALLOWFIFLD DR -
Address(Number and Street) Address(Number and Street)
PRINCETON IN 47670 PRINCETON IN 47670
City,State,and ZIP Code
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 roperty Sales Disclosure Act".
Si na re Seller Signature of Seller
1 ARRY R PATTERSON -7-n-2DD WANDA F PATTERSON `7—G-7- 0a.Cb
Printed Name ofSeller Sign Date(MM/DD/YYYY) Printed Name ofSeller Shin Date(MM/DD/YYYY)
E(S) APPLICATIONAPitleATIONTOR PROPERTY TAX DEDUCT!ONgIDI NTIFy ALL'`ITE1 , .7 y, PLY.: '. - :
AMANDA K WILLS H i >--q
e
yea conveyance document Buyer2-Name as appears on conveyance doc men s J
6765 W 400 S
Address(Number and Street) Address(Number and Street) AUG 4 2020
OWENSVILLE IN 47665
E-mail Telephone Number GIBSON COUNTY AUDTT5ffi1
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPE< I . . . > I F THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary Mr—a 7 • - 3' -eating/Cooling System
residence,including county:
1497 N STATF RD 65 ❑ VI5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
PRINCETON.IN 47670 ❑ g 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 2.Does the buyer have a homestead in Indiana to be 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide El Z 9.Would you like to receive tax statements for this
complete address of residence being vacated, pro e - .7 vide contact information
including county: below.Please see instructions for! ormation.
Not available in all counties)
Address(Number and Street)
24—0 r-110 -1Ql1 --002.0c1(A ''02 -
City,State ZIP Code County
Number License/ID/Other Number