Homestead_McCrary INDIANA SALES DISCLOSURE FORM _�SDF ID: T_ Page 2
D.PREPARER
Britany Bradshaw Agent
Preparer of the Sales Disclosure Form Title
226 W Broadway Broadway Title, Inc
Address(Number and Street) Company
Princeton, IN 47670
City.State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
Lisa M.Martin n/k/a Lisa M. Hill Linda Garrett
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
5961 E State Road 64 5961 E State Road 64
Address(Number and Street) Address(Number and Street)
Francisco, IN 47649 Francisco, IN 47649
. 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 co plete as re uired by law nd is prepared in accordance with IC 6-1.1- 5,"Real Property Disclosure Act".
) J/00rV-67(1
na ire of Seller 5 g azure of Seller
Lisa M Hill N(j- (jkoirl- Linda Garrett t
Printed Name of Seller _ Sign Date ot.4/DD/YYY1) Printed Name of Seller _____ ____ Sign Date MM/aD/}TYt)__—_
F.BUYER S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Jessica McCray
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
5961 E State Road 64
Address(Number and Street) Address(Number and Street)
Francisco, IN 47649
City.State,and
E-mail Telephone Number E-mail
Aug 18 2020
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APP
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary ❑✓ ❑ 3.Homestead GIBBON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ ❑✓ 4.Solar Energy Heating/Cooling System
residence,including county:
❑ ❑✓ S.Wind Power Device
5961 E State Road 64
Address(Number and Street) ❑ E 6.Hydroelectric Power Device
Francisco, IN 47649 ❑ ❑✓ 7.Geothermal Energy Heating/Cooling Device f
City,State ZIP Code County
❑ 02.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 ❑ ❑✓ 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)
.. 26-13-18-403-000.089-005
City,State ZIP Code County
Primary property owner contact name E-mail
Number License/ID/Other Number