Homestead_Phillips INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D PREPARER ',. •
Roman Ricker Partner
Preparer of the Sales Disclosure Form Title
219 N.Hart Street,PO Box 13 Partenheimer.Kinkle&Ricker
Address(Number and Street)
E-mail
E._SELLEKS,VGRANTORM L„ _ ' , .1__,. l•-,„. , '.,,._. .- , ''' '' '.-- - . - ''' - ' -' ''" ' - -, ' - "' 1
Glenford I.Brooks Constance J.Brooks
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
303 S.Stout Street 303 S.Stout Street
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670
E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
anxd complete as required by law,and is prepared accordance inwith IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
/z4y e(r)-0t42.4tc-x-, y..
Signature of Sell Signature of Seller
Glenford I.Brooks 1_1/9/2020 Constance J.Brooks 11/9/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F.J311YEKSVGRANT UM.--:AP P LIGATION FOR PROPERTY TAX DEOUCTIQNSI%thENTIFY ALL'ITEMSTHAT APPLY :
.David E. Phillips
V i 0 LUL
YES NO CONDITION YES NO CONDITION ------
Z 111 1.Will this property be the buyer's primary Z 0 3.Homestead ljnem•x_ -41
Pr
residence? Provide complete address of primary ID Z 4.Solar Energy Heatim/SoNlioaKeiii
residence,including county:
0 Ej 5.Wind Power Device
303 S.Stout Street
Address(Number and Street) El Z 6.Hydroelectric Power Device AUDITOR
Princeton, IN 47670 . Gibson 0 z 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
El 111 8.Is this property a residential rental property?
EI rzi 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 z 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)
2-(,-1 2-0-1 --Lk 02,-0 0'0. '2--r ---0 ZI.
City,State ZIP Code County
Primary property owner contact name E-mail