Homestead_Corn INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
b P,REPARER . `_.__ _ . ._ Y_ ' 'jam
Tiffany Hoon Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
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Travis Yenne Brett Wetli
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
106 S.Watkins Street 106 S.Watkins Street
Address(Number and Street) Address(Number and Street)
Francisco,IN 47649 Francisco,IN 47649
Scare,and ZIP rode scare,and hit'code
_
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".
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Travis Ye ////5//6' Brett Wetli I J,j
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�Na a of Se�r Sign date(Ms{/DD/YYYY) Printed Name of Seller Sign (
FBUYER(Sl/G TEE(Sl .AP.PIdCATION;FOR,PROPERTCTAX DEDUC'TIDNS <IDEN'TI_FY=ALLITEMSTHATIP.._
(Kaleb S.Corn
'Beyer me as appears on conveyance document Buyer 2-Name as appears on conveyance document
525 E Columbia Street 525 E Columbia Street
Address(Number and Street) Address(Number and Street)
Oakland City,IN 47660
E mall
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDE OSE THAT APPLY. FILED
YES NO CONDITION NO CONDITION
g ❑ 1.Will this property be the buyer's primary ® ❑ 3.Home tead Nov 15 2019
residence? Provide complete address of primary nergy Heating/Cool
residence,including county: 5.Wind PowerDevice
106 S Watkins Street ❑ Q GIBSON COUNTY AUDITOR CB
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device
Francisco,IN 47649 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ❑ 8.Is this property a residential rental property?
❑ TA, 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 property via e-mail?(Provide contact information
complete address of residence being vacated, ow.Please see in s for more information.
including county: Not available in all counties.)
Address(Number and Street) 6'].3'20-].03'000.045-005 /,.A
City,State ZIP Code County Primary property owner contact name E-mail