Homestead_Cowell INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
L.D:!PREPARER, _ �T n-3)'- - — iF r.�:,,F -- .-_Ls sb.,'_ :�1^ .�: El --,z;5 _i_i` zi;
Robert Meeks
Preparer of the Soles Disclosure Form Tide
1022 E Broadway St
Address(Number and Street) Company
Princeton IN 47670
City.State,and ZIP Code Telephone Number E-mail
_E.SELLER(S)/GRANTORg - z 7 :_4_ . '. ' MI'
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Indyre LLC �V66�ppV99�J
Seller I-Name as appears on conveyance document ry Seller 2-Name as appearcony e�nce document O\(1 y
17962 Foxborough Lane ������...... `\\\�, (t�. 7
Address(Number and Street) Address(Number and Street) PV
Boca Raton FL 33496 ti
104 t SQFt
City,State,and ZIP Cade City,State,and ZIP Code a Nov
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Telephone Number E-mail Telephone Number
QN 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 accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Vinod C Gupta-Indyre LLC 02/14/2019
- Printed Name of Seller Sign Date(MM/DD/YYY11 Printed Name..Seller Sign Date(MMD//DYYYY)
R(S)/GRANTEE S PPCICATION FOR PROPERTY/TAX CTIONS=IDENTIFY ENISTHAT APPLY_ -
__ - _ _ _
Barry Cowell Martha Cowe
-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1221 S Prince St 1221 S Prince St
Address(Number and Street) Address(Number and Street)
Princeton IN 47670 Princeton IN 47670
City,State,and ZIP Code City,State,and ZIP Code
C.
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Telephone Number E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY F'Y-.4668 THAT APPLY.
YES NO CONDITION YES NOits,CONDITION
0 1.Will this property be the buyer's primary R1/4 E j 3.Homestead
No, residence? Provide complete address of primary la Q 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
Address(Number and Street) ❑ ❑✓ 6.Hydroelectric Power Device
❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 2 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 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.
Address(Number and Street)
City State ZIP Code County . 6_/2-"lf'/04- oDi -R40I-0.2
Primary pmpe name E-mail