Homestead_Manuel INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
I) PREPARER __....a -a.. . ._'i _l _. gi . .-..v,. . ,. ._ ''--... h.._ , _I ...Sk_r. .%
Britanv Bradshaw Agent
Preparer of the Sales Disclosure Form Title
226 W Broadway Broadway Title, Inc
Address(Number and Street) Company
Princeton, IN 47670
'E SELLER S°#:GRANTORS y.,.e-. . r,.y:,Ma tiatVAMAT*MVSE Mateagagrn MENZRaTaantitigi
Kelley M Sloan
Seller 1-Name as appears on conveyance document Seller2-Name as appears on conveyance document
702 Makemson
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670
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 compl w
to as required by 1 ,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
ga
Sigdi re a Seller 6 Signature of Seller
Kelley M Sloan i(-�. (3
Printed Name of Seller Sign Date( M/DD/YYYY) Printed Name ofSeller Sign Date(MM/DD/YYYY)
F BU,YEKCS-VGRANTEE( 24413PL'ICATION'FOR, iatikI`Y„TAX,D:ED.UCTI,ONSN.IDENTIFY `LL ITEMMA"I'.APPLY_r_ - ,e F. y_t;
George E Manuel James S Dow
Buyer 1-Name as a ppears on conveyance document Buyer 2-Name as ap pears on conveyance document
vie 8.1,-t4*-o 0. 9 ? 6/43 6/ J'N ( g:b
Address(Number and Street) Address(Number and Street)FidPG i- C- , -� '3`t - /_o,GA ._L_L-- (Z&S7
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary3.Homestead Nov U2 1U1U
0 0 P P tY Y ® ❑ � �'�_r
residence? Provide complete address of primary El VI 4.Solar Energy Heating/Cooli it
residence,including county:
El ❑✓ 5.Wind Power Device GIBBON COUNTY AUDITOR CB
702 W Makemson
Address(Number and Street) ❑ IZI 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
City,StZT Code County
❑ 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 ❑ EI 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)
26-11-13-204-001.630-028
City,State ZIP Code County
Primary property owner contact name E-mail
***Per Note on Pg1 Of SD, Only George to live in Proper , ----- cB