Homestead_Moore (6) INDIANA SALES DISCLOSURE FORM SDF ID: Pa_ge 2
LD.PREPARER , - _ _ „a.
Dana Belcher Processor
Preparer of the Sales Disclosure Forrm Title
2301 N. Burkhardt Road First Advantage Title
Address(Number and Street)
E-mail
- .
EtSELL:ER(S�/GRANTOR(S) - . . -.- •
Jason R Oliver nanimlle n Oliver
Seller l-Name as appears on conveyance document Seller 2'Na, e appears onconeeyance xument
/sf1 OG�t/k )f 300� E ran nvf—S�
Add�re/sj(Number and Street) Address(Number and Street)N ! �
y /()/cclA i.C1 /A/ 1-75 F I v-a,n..Fs,n ( I e. / ( /\; '-(+ +-1
11
E-moil
Under penalties of perjury,I hereby certify that this Sales Disclosure,to th best ,knowledge and belief,is true,correct
and complete as equired by law,and is prepared in accordance with IC 6-}. - al oper[y.Sales Disclosure Act".
Signatureo Seller Signature ofSel
Jason R Oliver 5— z ° --/ 7 Danielle D Oliver Z,:I 201°1
Printed Name of Seller Sian Date(MM/D0/11ri1 Printed Name al Seller S' nr
Nash
rF BUYER'S tGRANTEE S)•'vAPPLICATION,FORP.ROPERTeY^TAX�DEDUCTIONS-tIDF.NTIE.YbALti�lTfi� -a .H T P k'' t3/4771
Jarrod Moore
Buyer l- ppeurs on conveyance document Buyer 2-Name as appears on conveyance doeum,1(JJU N 2 5 2019
AA- gel 7
Address(Number and Street) Address(Number and Street)
(1rtililncl (; y .N L1i660 ------------411e41;::thCli
ult
Email Telephone Number E-mail
THE SA ES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TH I ERTY. IDENTIFY A THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
C1 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary I] 4.Solar Ener ting/Cooling System
residence,including county:
6 61( C SAA-te g d Sl ❑ 0 5.Wind Power Device
Address(Nrunberand Street) ❑ o 6.Hydroelectric Power Device
n:1(1 Ar c1 (i ity, )`,) t4l 6b0 �—t6S Im ❑ IA 7.Geothermal Energy Heating/Cooling Device
City,State' P Code County
❑ 2. Does the buyer have a homestead in Indiana to be ❑ 0 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-ma{l(Prvviti contact information
below. Please see instructions or in 'n onnation.
including county: f
Not available in all counties.)
Address(Number and Street)
CIO.,State ZIP Code County
Primary property tamer con E.mafl
Number License/ID/Other;:umber