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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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L.MATTHEW NIXON
Preparer of the Sales Disclosure Form Title
223 WEST STFTE STREET FAIR, NIXON 8 NIXON
Address(Number and Street) Company
PRINCETON,IN 47670 812-385-5233 nixon(hevansville.net
City,State,and ZIP Code Telephone.Number E-mail
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S&(' ENTERPRISE INC
Seller l-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
11762 W 800 S
Address(Number and Street) Address(Number and Street)
Under penalties of perjury,t 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".
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-. gnaNreo ,er,, Signature of Seller
S8(; ENTERPRISE INC
Printed Name o(Seller+-(,cg.p� Pp(S1tt614- F57An:Dale.(MM)ad/YYYn,2+,I Printed Name of Seller Sign DatC(MM/DD/YYY1]
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:F..BUYER(S)%GRANTEE(S) .?AP ..[;IGAT.ION.FOR:PROP,ERTI'TAk;DEDUCTIONS-IDENTIFY-ALL"ITEMS.THATAP.P,L-Yi;�c'�a`?�3'k_s.;
DAVID DOUGHTY BARBARA DOUGHTY
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
406 W.BRUMMITT ST. 406 W,BRUMMITT ST.
Address(Number and Street) Address(Number and Street)
OWENSVILLE,
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 - MAR 2 3 2018
❑ 1.Will this property be the buyer's primary NI ❑ 3.Homestead
residence? Provide complete address of primary ❑ 12 4.Solar Energy Heati • l.. ; -. 1
residence,including county: -�.p d T,- ,
yU6 L) Brain m i-/'I-'t57- ❑ 0 S.Wind PowerB iSON COUNTY AUDITOR
Orddress(Number and Street) ❑ is 6.Hydroelectric Power Device
wensallle, 2n) y764S 61hson
❑ SI 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 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 ❑ 0 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)
40- 1 //-12 -901-ow, ^'o -IOWA
City,State ZIP Code County Q-(J �t
Primary property owner contact name E-mail