Homestead_Ford (2) INDIANASALES DISCLOSURE FORM SDF ID: Paget
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Tiffany Hoon Closer
Pre parer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Member and Street)
i
City,State,and ZIP Code Telephone Number E-mail
Gordon F. Phillips Michelle Phillips
Seller I-Name as appears on conveyance document Seller I-Name as appears on conveyance document
603 S Hall Street 603 S Hall Street
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670
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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
ant�cpmplete wired by law,and is prepared in accordance with IC 6-1.1.5.5,"Real operty Sales Disclosure Act".
Signature of Seller 9 Signature of Seller
7/Gordon F. Phillips 0Z/ZD/ Michelle Phillips Q7 7. 20/ 9
Printed Nam Sign Date(MM/oD/YYY17 Printed Nome of Seller Si nDate MM/DD/YYM
trgt)YER(S)%GRi1Nf1'RH SMAPPIfI@A'PION=F6RIBRbPglifil AX(dkEit1C-
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROP : . IENTIFY ALL OF THOSE T' • ' '•LY.Jul 152019
YES NO CONDITION YES NO CONDITION
Al ?::r er•rfs•
Di ❑ 1.Will this property be the buyer's primary . gi ❑ 3.Homestead
residence? Provide complete address of primar ti ,. , . - a-!' I.
JDITOR CB
residence,including county: ergy Heati e I
603 S Hall Street D m 5.Wind Power Device
Address(Number and Street) ❑ m 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ m y.Geothermal Energy Heating/Cooling Device
CI ,State ZIP Code County ❑ g, 1s this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ m 9 W o receive tax statements for this
vacated for this residence? If yes,provide
complete address of residence being vacated, property via e-mail?(Prov e - .a tact information
mclu pun below.Please see instructionsformo - 'e ormation.
�I3 ,a i 26-12-0f° ° anti°Met
dress(Number and Street) ` '
1SV 1)( C) _C N Cth1(11 LI Larry E. Ford,Jr.Chelsee J. Ford
City,State ZIP Code County Primary proper ojirrarfarrname E-mail