Homestead_Phelps (3) INDIANA SALES DISCLOSURE FORM SDF ID: 2020 Page 2
D. PREPARER
Sherrill Rommel Processor
Preparer of the Sales Disclosure Form Title
1842 E. Spring Street WT&S Title, LLC
Address(Number and Street)
E-mail
E. SELLER(S)/GRANTOR(S)
Martha K Martin-Atkins
Seller 1-Name as appears on conveyance document Seller 2-Na as appears on conveyance document
2208 E.Taylor Ave.
Address(Number and Street) Address(Number and Stree
Princeton, IN 47670
City,State,and ZIP Code City, State,and ZIP Code
(
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 requ)ed by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
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Signature of Seller Signature of Seller
Martha K Martin-Atkins co7/f/o2 0 Ztr \\
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Daniel R Phelps
Buyer 1-Name as a pears on conveyance document Buyer 2-Name as appea on conveyance cumerrf
Jo& 3 / / 6i w4 3-57
Address( umber and Street) Address(Number and Street)
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City,State, and ZIP Code City,State,and ZIP Code
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Telephone Number E-mail Telephone Number ''II((�� nn nn E-m it
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIF ALL OFA-FfbSLCC��rq A 14�pLY.
7YES NO CONDITION YES NO CONDITION ( ,
El 1. Will this property be the buyer's primary IV-. ❑ 3. Homestead • l
residence? Provide complete address of primary 0 pr 4. Solar Energy 1199iil Roeltig ThtegU OR
residence, including county:
7,20 1 7-4 y con- c/C ❑ IIK 5. Wind Power Device
Address(Number and Strleet)�% 0 f2( 6. Hydroelectric Power Device
PeltIG£TO/_� ,��• Y 7 Co7 0 Gms 0", ❑ II( 7. Geothermal Energy Heating/Cooling Device
City,State ZIP/Code County 0 a/ 8. Is this property a residential rental property?
❑ '2 2. Does the buyer have a homestead in Indiana to be 0 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
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City,State ZIP Code County Primary, property owner contact name E-mail
License/ID/Other Number