Homestead_Moser •
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
l) PREPARER= .f.:_ - '' .- . . . _ ... _.._
Preparer of the Sales Disclosure Form Title
Address(Number and Street) Company
City,State,and ZIP Code Telephone Number E-mail
.
E SELLE$(S)%GRANTOR(Sj v__.,__ ..--•:._ . __ _ _.:: _ __�;: �:_.__ ._.._ __ .:� . _ '-. -.__. ... _ . ._ ---
DONALD L MOSFR CANDY R MOSFR
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
4530 S.550 E. 4530 S 550 E-
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670 Princeton, IN 47670
City,State,and ZIP Code City,State,and ZIP Code .
Under p:' alties of perjury,I hereby certi that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co , , •to as requi"ctb. / AT,ani is epared in accordance with IC 6-1.1-5,.55,,"vReal Property Sales Disclosure Act".
1 iY ofseller -___i /P jj�iG%` I_ Signature of !el.'. " 1
Le•NALD L. MOSER r 1 -t 1?�I CANDY R. MO R i III`f I)1 `[)-
Printed Name of Seller 'S n Date(MM/DD/YYYY) Printed Name of Seller Sign-Date(MM/DD/YYYY)-1
F BUYERS) GRANTEE(S) -:APPLICAT,ION,FOR,PROPERTY.TAX,-D0UCTIQNS IDENTIFY ALE-ITEMS THAT APPLY . `T .
1
r ,,CANDY R. MOSER--Jr.___—
' r
Buyer 1-Name as appears on conveyance document Buyer2-Nameasa r c veyan •••un7nt
I
4530 S.550 E. �A -
Address(Number and Street) Address(Number an tree
Princeton, IN 47670 A� `I 20�9
City,State,and ZIP Code City,State,and ZIP Code lyo
1 E-mail Telephone Number • E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL 0 T PDT D
YES NO CONDITION YES NO CONDITLO1 DN cO'
N ❑ 1.Will this property be the buyer's primary ( _,LI 3.Homestead
residence? Provide complete address of primary ❑ -Er 4.Solar Energy Heating/Cooling System
residence,including county: ❑ i' S.Wind Power Device
Address(Number and Street) E p- 6.Hydroelectric Power Device
❑ 16 7.Geothermal Energy Heating/Cooling Device
City,State ZIP ode County
ia-
El2,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, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) �/� n t�,
City,State ZIP Code County 21 �`�- `� `0~ too-
aI , 838 -001
Primary property owner contact name E-mail
License/ID/Other Number