Homestead_Moore (10) INDIANA SALES DISCLOSURE FORM _ SDF ID: Pa•e 2
D.PREPARER _
Britany Barnes — Agent
Preparer of the Sales Disclosure Form Title
226 W Broadway Broadway Title, Inc
Address(Number and Street)
E.SELLERS GRANTORS _ _
Lisa Graham
Seller I-Name as appears on comrrance document Seller 2-Name as appears on conveyance document
377 W 350 S
Adds ess(Number and Street) Address(Number and Street)
Princeton, IN 47670
certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct
a ddcomplete 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
377 W 350 S
Print ' ..ame of Seller Sian Date M.N BO/Iln9 •,'unit.-5e ' Sian Date IM.N/DO/VTTI
III ratmgi7:\IWYg ism taiiImui 1 s `:• : •i�:r..�..
K-vi L Ms. - Melanie A Moore
(layer]-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
22292 E 700 22292 E 700
Address(Number and Street) Address(Number and Street)
Mt Carmel. IL 62863 Mt Carmel, IL 62863
YES NO CONDITION I YES NO CONDITION 1- ,1
❑✓ ❑ 1.Will this property be the buyer's primary 0 ID 3.Homestead
residence? Provide complete address of p imary ❑ g 4.Solar Energy Nei' a'.oling Sys{fttt(j
residence,including county: ❑ 0 5.141'. er Device Q 9 ll..�V
377 W 350 S
Address(Number and Street) 12 6.Hydroelectric Power Duce
Princeton, IN 47670 Gibson opt 1AOR
❑ ❑✓ 7.Geothermal Energy Heating Co:=46 1
City.State ZIP Code County 1,N1' • 5
❑ 02. Does the buyer have a homestead in Indiana to be ❑ `❑ 8.Is this property a residentiu� sl�roperty?
vacated for this residence? If yes,provide ❑ ❑ 9.Would you like to rec k R statements fort is
complete address of residence being vacated, • •-- • • • - . ii• ' e contact information
including county:
below. Please see instructions formoreinformation.
Not available in all counties.)
Address(Number and Street) 1
Dlo
City.State ZIP Code Counts
-�a-3 - Yam - OOi. lr,314 ma7
Primary property owner contact name E-ma'