Homestead_Mowery /
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f` INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
I D.PREPARER `
Britany N Barnes Agent
Preparer of the Sales Disclosure Form Title
226 W Broadway Broadway Title, Inc
Address(Number and Street) Company
Princeton, IN 47670
mail
•E:SELLER(Sf JGRANTOR(S) .-i - .
Cody Ferguson
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1816 Cottonwood Dr %i/ 1 � lip"r
Address(Number and Street) lI Address(Number and Street)
Princeton, IN 47670
E-mail 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".
Ce �i1fti19 1�11/1'Vip. DPIY, 1�
Sign tore of eller Signature of Seller
Cody Ferguson 77 .54,1-C9-0
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller V;n Date(MM/DD/t'17Y)
rER(S)/GRANT (S)-APPLICATION FOR'PROPERTY TAX DEDUCTIONS-IDENTIFY A T THA •� �" Y •
-
Conner J Mowery Ashley N Mowery
I ,ec t Nn-,.,.. _ n conveyance document Buyer 2-Name as appears on conveyance documen
206 Delaware St 206 Delaware St AN 17 a
Address(Number and Street) Address(Number and Street) ����� ��
Princeton, IN 47670 Princeton, IN 47670 ,i.6
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS P:! TY. IDENTIFY ALL• -• E THAT APPLY.
YES NO CONDITION YES • CONDITION '
❑ ❑✓ 1.Will this property be the buyer's primary g 0 3.Homestead
residence? Provide complete address of prim.ry 0 o 4,Solarg/Cooling System
residence,including county:
1816 Cottonwood Dr u `Tln• 'ower vice
Address(Number and Street) ❑ ❑✓ 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
1 ❑ 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 ❑ 0 9.Would o receive tax statements for this
complete address of residence being vacated, operty via e-mail?(Prove act information
J A' , including county: below.Please see instructions for more ' motion.
J5-� • Not available in all counties.)
ess(Numberand tfeet) , f 671...1). ���it 1 n Y► `7"7�07D2- r?_p C� --fl�2.4 2g.
ty,State ZIP Code I County
Primary property own E-ma'