Homestead_Goldsberry (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
LD•s;P,REPARERf- :_ !b' k 37 _ .
Linda Veale Owner/Manager
Preparer of the Sales Disclosure Form Title •
201 E. Main Street, Suite 401 The Daviess County Abstract Company, Inc.
Address(Number and Street)
E-mail
11*SEIILER(S)%GRANtT(O481-
.-- 7C7 ` > N-r -- - y ;- rar * r, Y ctur '.711,r7.7: r•ltiA
Kant R Bunch •lustina A Runrh
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document _
1307W450S 1307W450S -
Address(Number and Street) Address(Number and Street)
Washington, IN 47501 Washington IN 47501
a V,
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 coo tea requir by law,and is prepared in accordance w' IC -1.1- `Rea r� Disclosure Act".
Mr
rSlggtureofSEller' • to eofSeller _.
Kent R Bunrh 2/21/201R Justina A Bunch 2/21/2019
Printed Name a/Seller i Sign Date(MM/DD/YYYY) Printed Name or Seller Sian Date(MM/DD/YYYY)
E--N 1 ',, rS001-0ICATIONIF,ORQPROPERReY4kki)ED07010NSP.III)ENTIE M!..L^,IfITA iT 1 r-;II;0 �`' „ r'_ S
Charles Goldsberry ;��
Buyer I cv Name n veyance document Buyer 2-Name as appears on conveyan u -
dc�tE1 W1Sk.rk e .
Address(Number and Street) Address(Number and Street) APR 15 2019
w r,s,cImi d) Q, i. a.,.‘ y'1 taLo
Telephone Number GIBSON COON V AUDI I OR Email
THE SALES DISCLOSURE'FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS . L OF THOSE THAT APPLY.
IYBS-5.e9NOiSK&,CONDITIONr\ ?YES.t.a7NO 4.1.CONDITION;`i-zF..
CR ❑ 1.Will this property be the buyer's primary 112 ❑ 3. Homestead
residence? Provide complete address of primary He • g/Cooling System
1 -residence,1incluuding county: •
315 �,IES4- sr' I JT(CF—+ ❑ ❑ S.Wind Power Device -
/�,Aedress(Number andStreet) y ❑ ❑ 6. Hydroelectric Power Device
1J�11,..11c^n C` -Vj ( ('° Li
bS a'^- ❑ ❑ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code , County -
❑ g 2.Does the buyer have a homestead in Indiana to be j ❑ 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ ❑ / ceive tax statements for this,
complete address of residence being vacated, property via e-mail?(Prove tact information
including county: below. Please see instructions for mo . formation.
26^ jG-
( gNovailable in all counties.)
Address(Number and Street) 4— 0 OD-213—Ott .
City,State ZIP Code County ih� F1 n
Primary property owner contact name E-moil;
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct '
Number License/ID/Other Number
ra .—