Homestead_Nally , INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D. PREPARER_ -
Preparer of the Sal Disciosur Form Title
32g (u� �/d ��
Address Number andSt et)
E:SELLER[S)../,GRANO:R TO _ - -- - = .. . _.. - 9
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Seller 1- e as appears on conveyance document Seller 2-Name as appears on conveyance document
3\C.,9_ S.C0.SO E
Address(Number and Street) ,
City,State,and ZIP Code
Telephone Number 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 coin lete as re uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
S. e of Seller _ l _ Signature of Seller
N.
Printed Name oSeller Sign Date(MM/DD/YYri) Printed Name of Seller i n Date(MM/DD m7(
_F.BU_,_-(S)/GRANTS S L[CATION-FOR,PROPER_TY TAX DEDUCTIONS-IDENTIFY ALL- -_- fArt P
4se ice,✓%//
Buyer 1-N nvyanc ocument Bu a^`.� Name as appears on conveyance document
-39_' a /3Yk.i4ie /qv? FEB 2 8 2020
ress(Number and Street) ddr (N T,ber and Street)
•Is vi,i_e - /P Ai �'[ I'7%11 7 6 _ —_ _
G 1 ix:o ,' GIBSON COUNTY AUDITOR
Telephone Number — _ '- ' ai C a4Jrelephone Number E-mail
THE SALES DISCLOSURE FORM MAYBE USED TO,y''a, t' 1 1 N I t UCTIONS FOR THIS PROP t • '• • OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION .
❑ 1.Will this property be thD.e er's primary X ❑ 3. Homestead
residence? Provide complete address of primary • �i ,. •o ar nergy Heating/Cooling System
r deuce, cluding county:
, � � � �/ ❑ 05.Wind Power Device
A�f ess(NumberandStreet) ❑ r 6.Hydroelectric Power Device
Yr/n c r?4i.--> }-N 47 670 6 1.5 U.\ ❑ cgi, 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code 1 County
?t] ❑ 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 ❑ i 9.Wou . • - . • • •ceive tax statements for this
complete address of residence being vacated, property via e-mail?(Prow•• :.tact information
incl ding county; below.Please see instructions for mor• • ormation.
60 e y S- f 1,,,e, C ? Z ��2�Not available in all counties.)) r^
Alddress(N ber and Street 0-7 --Zo 3-0 O I .9-?2-0
Wt 4 a te✓ ±/l./ 1475-S - /f! ,,,
City,State ZIP Code �c+t /�9 T GS f�/'i9�J 1 E-mailrimary proper otviher contact name mail
- _ _ y Number License/ID/Other Number
-