HomeMy WebLinkAboutHomestead_Malone INDIANASALES DISCLOSURE FORM SDF ID: Paget
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Tiffany Hoon Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
'B'''-fratr . .�—.sw' .-- tsS
Ellis Estates,LLC
Seller I-Name as appears on conveyance document Seller I-Name as Gowan on conveyance document
7199 Newman Rd.
Address(Number and Street) Address(Number and Street)
Elberfeld,IN 47613
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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
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
1_----t— .
Signature o/Seller Signature of Seller
Ellis Estates,LLC by Brian Ellis,Member 08/20/2019
Printed Name of Seller Sign Date(MM/DD/YYYY)
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YES "NO CONDITION VfI NO CONDITION ��
❑ 1.Will this property be the buyer's primary / 0 3.Homestead GIBBON COUNTY AUDITOR CB
residence? Provide complete address of prima ❑ g 4.SolamEnerr'.Heattng/Cooling System
residence,including county: 0
516 E Brumfield Ave Q 5.Wind Power Device
Address(Number dStreet) ❑ 0 6.Hydroelectric Power Device
Princeton, 47670 Gibson ❑ 0t 7.Geothermal Energy Heating/Cooling Device
a y,smttzl code Countye ❑ 4-4)( 8.Is this property a residential rental property?
0 2.Does the buyer have a homestead in Indiana to be ❑ Q 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide via e- '?ro ra c tinformation
complete address of residence being vacated, property T 9"�`
including county: bel ease see instructions for more)n ation.
otavailable in all counties)
Address(Number and Street) 26-12-07-204-001. 085-028 ABob G.Malone, ra J.Malone
City,Stole ZIP Cade County Primary property ownercontacChame E-mail