Homestead_Bralley INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER . . .. . •_ .
Britany N Barnes Agent
Preparer of the Sales Disclosure Form Title
226 W Broadway Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 britany.bti @mw.twcbc.com
City,State,and ZIP Code Telephone Number Email
E.SELLER(S)/GRANTOR(5) - .- • _ .
•
David B Dean Jr Desiree D Dean
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
330 N Main St 330 N Main St
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660 Oakland City, IN 47660
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_
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a,'com .`required by law,and is prepared in accordant• ' h IC 6-1.1-5.., operty Sales Disclosure Act".
S a - .10/17 •_ . Hwy 'b
- •
Stgnature of Seller �ign�e of -r
David B Dean Jr Desiree D Dean
Printed Name of Seller Sian Date(M/I/ao/rrYYI Printed Name of Seller Sian Date(.M.M/DO/YIYt)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR-PROPERTY TAX DEDUCTIONS;-IDENTIFY ALL'ITEMSWIITTPJLY,
Jeffrey M Bralley Donna J Bralley �—./
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
2106 Co Rd.607 2106 Co Rd-607 II I • In_
t
Address(Number and Street) Address(Number and Street)
Poplar Bluff, MO 63901 Poplar Bluff, MO 63901
YES NO CONDITION I YES NO CONDITION
12 ❑ I Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary ❑ 12 4.Solar Energy Heating/Cooling System
residence,including county:
330 N Main St ❑ 12 5.Wind Power Device
Address(Number and Street) ❑ 12 6. Hydroelectric Power Device
Oakland City, IN 47660 ❑
7.Geothermal Energy Heating/Cooling Device
Coy,State ZIP Code County
❑ 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 ❑ 12 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) .t'Y('s/'Y R
Gry,Stare ZIP Code n -14-18-302 ^tom. v6S— — 004
County •
Primary property owner contact name E-mail
i� x