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INDIANA SALES DISCLOSURE FORM SDF ID: — - Pagel._
D:-PREPARER, ._' >•t., . .. ,. . .,. ' ^as ......" ' >.;`
Leisa Billings Processor
Prepare'of the Sales Disclosure Form Tide
530 Frederica Street Foreman Watson Land Title
Address(Number and Street) Company
Owensboro Kv 42301 270-689-2424 owensboro@fw-It.com
City,State,and ZIP Code Telephone Number E-mail
e'E SEISSiiG WAN f0R(S) _3 xa mstr "- ,:..:t g ,: n r,nt.,_'.+::zka"'«F�, R s,:. ,`earnnI
Johnalhan L Devoy
nnoreygy¢d�cumJnLP Seller 2-Name as appears on conveyance document
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Addr it bee [mtki RS2 ) Address(Number and Street)
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CitNie.aidZ/P Code ) City,State,and ZIP Code
E-mail Telephone Number E-mail
Under penalties of perjury,I 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 a ordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller /
Signature of Seller
Iohnathan I Devoy Printed Name gigglier SI Dae(-.M J7
11 Printed Name of Seller — .ian Date(MM/DD/TYY})
7PyBU�'ER(S)]GRA . �E(�-APPLICATION FOAI ;ROPE AAkDEDUCTIONS=`IDENTIFY;A I HA i }+' a' i� '
e�\1 g l
Joshua M.Truxal
Buyer] Name aso nveyance document Buyer Name as appears on conveyance document
17 9 . State Road 65 MAR 15 2n19
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 A ' �
CIW,State,and ZIP Code City.State,and ZIP Code )
mail Tele - er E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR PROPERTY. IDENTIFY ALL OF THOSE APPLY.
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of prim ❑ Hea - /Cooling System
residence,including county: L ❑✓ 5.Wind Power Device
Address(Number and Street) 0 g 6. Hydroelectric Power Device
❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 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 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: letcr ease see instruct; ore information.
Not available in all counties.)
Address(Number and Street) $/ ^� — r3, ') .b .O' 2O -C)2-
City.State ZIP Code County I cis2rJ S,
ro perty owner contact nameCme `/ E-mail)
$
Number License/ID/Other Number
1