Homestead_Brown INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
ED PREFARER ' _. .- - <, '
Chris Sullivan Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
3 - tea L a_,.--d�k r•'�. -- .� .:4 3 ti t q F 1 } _ vs Y V :c s -..+-'
...._.. �.�.i 4..�-� __ `,:WA'',-,� _.,... _�..,.i-w, ___.. _�..�:1-.._ h.-._. � ._,__ ....i-.<.tJ,5.. :._._.�.._....... .: .> �:Y. : s h,-,5..,_si.-.... ..__ ?._t._P._S'
Zackery T. Campbell
Seller 1-Name as appears on conveyance document Seller I-Name as appears on conveyance document
518 S Hall Street 518 S Hall Street
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670 Princeton,IN 47670
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 b w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
�laure Signature ofSeller
ZackeryT.Cam be 0-4- 7
Printed Name ofSeller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MMDO/YYYY)
4.BUYER(Sir/GBATh EE(S1 .:APPLICATI'ONFROR PROPERTY TAX,D.E•DUGTIONS IDENTIFY-ALL�I'.rEMS;THA>T i it, a11Wf yt
Ashton Brown
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
802 East Evans St 802 East Evans St
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670 Princeton,IN 47670
CERTAIN DEDUCTIONS FOR THIS PROPERTY-IDENTIFY ALL OF THOSE THAT APPLY.
Y ES NO CONDITION
d ❑ 1.Will this property be the buyer's primary YES NO CONDITION
3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ Q 4.Solar Energy Heating/Cooling System
residence,including county: ❑ Q 5.Wind Power Device
518 S Hall St
Address(Number and Street) ElI21 6.H droelectric Power Device
Princeton,IN 47670 Gibson ❑ 0 .Geothermal Energy Heating/Cooling Device
City State ZIP ode county ❑ 8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ Q 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide
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) Ashton Brown 26-12-07-303-002 . 635-028
License/ID/Other Number