Homestead_Mowery INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
aDME—PARER:SZA4 r .M =me - • -= ''` s 3 -
Timothy Bottoms Sheriff
Preparer of the Sales Disclosure Form Tide
112 E Emerson Street Gibson County Sheriffs Office
Address(Number and Street) Company
Princeton IN 47670 812-385-3496
City,State,and ZIP Code Telephone Number E-mail
IE SEEI ER(S)'/GRANTOR'[S) & a -T _ . -` :` :> f - - ' —
Timothy Bottoms
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
112 E Emerson Street
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and com 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 Seiler
Timothy Bottoms 06/16/2016
Printed Name of Seller Sian Date(MM/Dl/nr Printed Name of Seller Sian Date(MM/DD/WW)
F1BUYER(SI%GRANTEES AP,PEIGAT1O\1 0R TP,ROPERMTAttEDUGTIONSEIDENTIEY;'ALL`ITEMSiTHATAP.P,LY ra
Robert R. Mowery
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1837 W Burlington Place
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
IN ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: n
S.Wind Power Device
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device
City, ZIP County [1] Ed 7.Geothermal Energy Heating/Cooling Device
SI❑ 0 2. Does the buyer have a homestead in Indiana to be ❑ 8 Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ Fl 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)
C.-r,— n - 04a.
City,State ZIP Code County
Primary property owner contact name E-mail