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.:LES DISCLOSURE FORM SDFID: Paget
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4.-:ea Hendricks: Closer
,/Preparer of the Sales Disclosure Farm Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services.
Address(Number and Street) Company
Evansville, IN 47715 (812)759-5555 closings(reeionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
Jack C.Adamson Jessie L. Adamson
Seller I•Name as appears on conveyance document Seller I-Name as appears elldrs omconveyance omen[
520 W Gardield Ave
520 \l Gardield Ave
Address and Street) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670
and complete as require by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
C
At6pature of Seller ? / pgnature of Seller
Jack C.Adamson �/ 7 (R essie L. Adamson ^!(/)3l
•
Printed Name of Seller Sign Date(Li DD/YYYY) Printed Name of Seller Sign Ddte(MM/ D/YYYY)
IF:.BUYERISIT/GRANTEE(Sh 'A EICATIONsFOR IP.ROBER77/TAXdDEDUGTIONS IDENTI EWALGITEMSOHATcAP.P-I:Yr " ____.-T
Ashley M.Atwood Krvstal D. Lehman
.Buyer I-Name as appears on conveyance document Buyer Z-Name as a rs on conveyance ryance document
-325 5 -R"-#h Pr 17- . - .. . . • 329 $in c'1 Ill i./. - 1/ I .�" 1 ''
.
Address(Number and Street) • ••'revs um,'r an, treet
%I-x,70„ P. rTla 1c nn _kJ • fit'
____--
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TH FILY1 ,4
YES NO CONDITION YES NO CONDITION GIBBON COUNTY AUDITOR
[
l ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of primary ❑ o 4.Solar Energy Heating/Cooling System
residence,including county: ❑
520 \V Garfield Ave El S.Wind Power Device
Address(Number and Street) ❑ 0 - 6. Hydroelectric Power Device •
Princeton. IN 47670. Gibson ❑ Ei 7 othermal Energy Heating/Cooling Device
City,State ZIP Code County ❑ 8.Is this property a residential rental property?
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ El 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide
complete address of residence being vacated, property via e-mail?(Provide contact information
• including county: below.Please see instructions for more information.
of available in all co 2
unties.)
Address(Number and Street) L6 _ a-nf —103 —ctil. 365 _p 8
•
Ashley M. Atwood Krystal D. Lehman
City,State ZIP Code County Primary property owner contact name E-mail