Homestead_Hutton i
INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2 .
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Chris Sullivan Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 •
Regional Title Services
Address(Number and Street)
City,State,and ZIP Code
`ty ' Telephone Number E-mail
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Thomas W.Fogg ,
Seller 1-Name as appears on conveyance document Seller I-Name as appears on conveyance document
707 E Water St 707 E Water St
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670 Princeton,IN 47670 t
..SCUM anaZIP Loae btate,ana at'Loae
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 1.5.5,"Real Property Sales Disclosure Act".
Signature ofSeller Signat'iire of Seller
Thomas W.Fogg �1�, �Z 5 Cs1 e—�6:-V '2., r/— 2 Gz
�Y .Printed Name ofSeller �,�t�y,� T,{� Sign Date(f M/DD/YY�YY)) tea �{� Printed Name of Seller {�� {` r 4 Sign Date(MM/DD/YYYY)
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R..yn E.Hutton _ - '
B 3, -,.-,••--,-,,•ears on conve anceeocument - Buyer 2-Name as appears oh conveyance document I
.•439644439-E '7 e .WC,t_ S-11- , 4396 N 650 E •
Address(Number and Street) Address(Number and Street) •
—Franeise0733+41645 1--)C1 t`e,aCOA i I N 41(010 , Francisco,IN 47649
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPER EY7II tt3F FFI THAT APPL1F ebOb 2020
YE NO CONDITION S NO CONDITION 0 I
❑ 1.Will this property be the buyer's primary ❑ 3,Homeste GIBBON COUNTY AUDITOR CB '
residence? Provide complete address'of primary fj Solar Energy Heating/Cooling System
residence,including county: ❑ RI 5.Wind Power Device
707 B Water Street
Address(Number and Street) ❑ w! 6.Hydroelectric Power Device
Princeto ,IN 47670 Gibson ❑ ET 7,Geothermal Energy Heating/Cooling Device
CIO;State IPCode County ❑ S.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ CI 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide
complete address of residence being vacated, property via e-mail?(Provi tact information
including county, below.Please nstructions for more in tion.
Not ova' le in all counties.)
Address(Numberand Street) Rob E.Hutton 6-12-07-402-000. 815-028
City,State ZIP Code County Primary property owner contact name ' - all
Number License/ID/Other Number
1