Homestead_Cox INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
DEBBIE JACKSON CLOSING AGENT
Preparer of the Sales Disclosure Form Title
530 FREDERICA ST. FOREMAN WATSON LAND TITLE,LLC
Address(Number and Street) Company
OWENSBORO,KY 42301
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„E.,SELLER �G ,.,,�..... .,...:::.:::.....,.. :..._....:...,.::......,.,:,............lf<..........r:..,:...,....
JAMES L.RICHESON CHARLOTTE RICHESON
Sell appear);ap c nce document Seller2/Name.asappea on c nveyanc document
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may/ /`l c. `�® � � � GC liz---
Addr (Number and Street) w / !/7/ �Q 1 Address umber and Street) , �� _//4Vg
Email
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 wi,,;;I 1. 5.5,"Re roperty Sales Disclosure Act".
, � / ': y A..�i;_.•.r}I i� .a
nature ofSeller Signature o Iler
JAMES L.RICHESON = • ' CHESON 02J28/2020
PrintedN•••eersetler •n i '
Printed Name.
.. " Slim Date idM
$ a: R(S)', e'`NTEE(S} -APPIICATIONFORPRORERT ADEDUCTOIWIS,-1DE FY L,IE.M , HATAPPIIr „
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ANTHO COX
Buyer -Name as appears on conve'jance document Buyer 2-Name as appe'.son conveyance document _,
2 s EAST MORTON STREET It. Ii
Address(Number and Street) Address(Number and'treet) 'I., I
OAKLAND CITY,IN 47660 '
E-mail Tefe.,- eNumber „'� / E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THI ••OPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
•YES NO CONDITION YES NO CONDITION .(Y AU9��OR
V ❑ 1.Will this property be the buyer's prima ❑✓ ❑ 3.Homestead BSON GOV�
residence? Provide complete a.. - of primary ❑ ❑✓ 4.Solar Energy�Firating/Cooling System
-. - inclu.'.: El05.Wind Power Device
218 E.MORTON STREET
Address(Number and Sb-act) ❑ ❑✓ 6.Hydroelectric Power Device
OAKLAND CITY,IN 47860 GIBBON ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ?
❑ 0 2.Does the buyer have a homestead in Indiana to be
0 ❑✓ 8.Is this property a residential rental property.
vacated for this residence? If yes,provide 0 ❑✓ 9.Woul •ve tax statements for this
complete address of residence being vacated, property via e-mail?(Provide co ormation
including county_ re inform
Not available in all counties)
Address(Number and Street) ak-Il y 1 "-AS ®-y b°O -Q�� Jh D 7
City,State2IP Code Caunry 1 E-maillf
Primary property owner contact name
License/ID/Other Number