Homestead_Karnes INDIANA SALES DISCLOSURE FORM SDF ID Page 2
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Elvsea M Ledman Settlement&Quality Assurance
Preparer of the Sales Disclosure Form Title
3930 Mezzanine Drive,Suite C Columbia Title, Inc.
Address(Number and Street) Company
Lafayette, IN 47905
City,State,and ZIP Code Telephone Number G-mall
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Melissa M.Mosby
Seller 1-Name as appears on conveyance document Seller 2-Name as appears an conveyance document
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Address(Number andStreet) 4 Address(Number and Street)
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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".
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Signature of Seller Signature of Seller
I1iisa M.Mosby 3/30/2020
Printed Name ofSeller S n Date(MM DD/YYYY) Printed Name ofSeller Sign Date(MM/Do/YYYY)
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Brandon L. Karnes._.-
amezrsappeers on conveyance document Buyer 2-Name as appears on conveyance document
101 South West Street
Address(Number and Street) Address(Number and Street)
Fort Branch,IN 47648
City,State,and ZIP Code City,State and ZIP Code
E-mail Telephone Number FILED
THE SALES DISCLOSURE FORM MAY DE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROP ALL OF THOSE THAT APPI
YES NO CONDITION YES NO CONDITION Apr 20 2020
[� ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead /11
residence? Provide complete address of primary ❑ 4.Solar Energy Heating/C �W
residence,including county: GIBSON COUNTY AUDITOR CB
101 South West Street ❑ 0 5.Wind Power Device
Address(Nuntber and Street) ❑ [J 6.Hydroelectric Power Device
Fort Branch,IN 47648 Gibson ❑ [ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ r 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 ❑ 9.Would you like to receive tax statements for this
complete address of residence being vacated, pro er via e-mail?(Provide contact information
including county: below.Please see Ins or more information.
Not available in all counties.)
Address(Number and Street) 26- 13-403-000. 119-02.6
City,State ZIP Code County
Primary property owner contact name E-mail
Number License/ID/Other Number