Homestead_Williams (4) INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2 D T..REPARE1 . ,.-..:-,,,,,---,,,;7;.-_4 k,- ,'•_ . _. - Pam Hancock Closer Preparer of the Sales Disclosure Form Title 221 NW 5th St Lockyear Title, LLC Address(Number and Street) E-mail - - - 'r=- - - `r>c-i;' :^;;=q : - - - _ E:SELLERS `:GRANTOR S - - - , - . _ - - _ --_ _. .�,•�� - - - - . ;�.- _ . Trevor V.Martin Seller 1-Name as appears on conveyance document Seller2-Name as appears on conveyance document efy3(p 5 a,©o6 ss(Number andStreet) k Address(Number and Street) .u hSk d-i- L 1769 3? 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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature of Seller Trevor V. Martin Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) F BUYER(S) GRANTEE(SY,APPLICATION:FOR.PRO15ERTY=TAX DEDUCTIONS-:;IDENTIFY.ALL ITEMSTHAT APPLY ,4--`-'''-'_ :; : Evan Reid Williams Buyerl-Name as appears on conveyance document Buyer2-Name as appears on conveyance document 1953 E Warrenton Road Address(Number and Street) Address(Number and Street) Haubstadt, IN 47639 E-mail Telephone Number Inv 10 9070 E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPL . YES NO CONDITION YES NO CONDITION ❑✓ El 1.Will this property be the buyer's primary ❑✓ ❑ 3.Homestead GIBSON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System residence,including county: ,i 1953 E Warrenton Road ❑ ❑ 5.Wind Power Device ddress(N mb ran eet) ❑ ❑✓ 6.Hydroelectric Power Device Faubsta�t, 1�14�Ib��39 Gibson El 0 7.Geothermal Energy Heating/Cooling Device City,State ZI Code County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 2 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) 26-23-16-300-000.867-024 City.State ZIP Code County Primary property owner contact name E-mail Number License/ID/Other Number