Homestead_Graper (6) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.,PREPAR.E.R '.' 'i: : • ': . ,
Britany N Barnes Agent
Preparer of the Sales Disclosure Form Title
226 W Broadway Broadway Title, Inc
Address(Number and Street)
mail
E.SELLER(S)/GRANTOR(S) - '. -
Donald R Graper Lisa L Graper
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
5800 S 350E 5800 S 350 E
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 Fort Branch, IN 47648
E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an co as•required law,and is prepared in accordance with IC -1.1-5.5,"R 1 r perty Sales Disclosure Act".
nature ,,„..„,
of Seller Signature of Seller
Donald R Graper /0'3,D-b 1 ( Lisa L Graper I QI3 J l c'
Printed Nameltf feller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYY1')
UYER(S)/GRANT (S).-APPLICATION FOR PROPERTY,TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY . ' -
Donald J Graper
Su YC 1-Nn,ne conveyance document Buyer 2-Name as appears on conveyanceEeJi1.j�1j
5800 S 350 E
Address(Number and Street) Address(Number and Street) 4 2019
Princeton, IN 47670 OCTI J
E-mail Telephone Number GIBSON COUNTY AUDITOK ad
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION ES NO CONDITION
i' V 1.Will this property be the buyer's primary g. ---,--,1 3.Homestead
residence? Provide complete address of prim mg/Cooling System
.116 I r-c,% S6ri -�„�ncluding county:
u ❑ ❑✓ 5.Wind Power Device
Addre s(NumberandStreet) ❑ ❑✓ 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 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 ❑ ❑✓ 9.Would you like to receive tax statements for this
complete address of residence being vacated, via a-ma . contact information
including county: below.Please see instructions for m 'n ormation.
Not available in all counties.)
Address(Number and Street)
City,State ZIP Code County A 1 —\0Ct)a1/4)"S
P - oy property owner contact name E-mail
Number License/ID/Other Number