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Homestead_Harvey
INDIANA SALES DISCLOSURE FORM SDF ID Page 2 dDirf![.'+Pn's+Rar"�?'�s..:u r 4 r-r.j2'.�,'1" t-'l't'�,'rs.,h r -cam " yr"t�r.,It" 1- a '�m7._ r 5' . M N S .. I}r�Y r- ,;y:r ., .a_� -t .. .». .:.....'.p+^.` .L. .n...:.SCE H�F". Gs. t C�.zr.�.wc.`.s...1.:!4e '�3 i F�: \Y�F� Britany N Bradshaw Agent .Y. Preparer of the Sales Disclosure Form Title • 226 W Broadway Broadway Title,Inc Address(Number and Street) mail f f:.� L'i ro� '� �� f t r �-�.K'Y'�'`•�T '"�,yS q"i 7h`� 4ii�j,�s �eY��."-r {�K Y +w>> •E" i,r 3 � �zs F.ri r lt._I to S/.GaMalf Ir,!,S t 7..N r:!u 2O u fi T i j I st 5h `ai�w y T�Mt w. ._ r= ....3.�ti-..-�,r.�'^s S: ,.<:1 r X.,?",5-, .�s_....�s'�✓, -,.r�3�r..,.r A.. d px,";!'.s r r ,y�'�. �y VI Charles E.Selfe Seller 1-Name as appears on conveyance document Seller2-Name as appears on conveyance document 729 S 1st St Address(Number and Street) 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 an .lete as required b la ,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature ofSeller / Signature ofSeller Charles E Selfe 0 4 j-. /20 a P loteddlmae-of Seller Sr Date(jM1DD/YYYYJ Printed Name o fSeller Sign Date(MM/DD'YYYY) __ITE VA .N EB a YCeiO_nDIP.I�O ICRTAMiNTI.ONS `(D;EN;TINVA iTEMS grOMP Y' f 4_ Eh,<_,:a.MN Blaik Ham uyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 4323 W 650 S Address(Number and Street) Address(Number and Street) Owensville,IN 47665 City,State,and ZIP Code • FILED Telephone Number E-mail Telephone Number May 01 2020 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS P: . HOSE TN. YES NO CONDITION YES NO CONDITION ❑✓ ❑ 1.Will this property be the buyer's primary ❑✓ 0 3.Homestead t•IBSON COUNTY AUDITOR CB residence? Provide complete address of prima • • - • , . 14 eating/Cooling System residence,including county: 5.Wind Power Device 729 S 1st St ❑ • Address(Number and Street) ❑ © 6.Hydroelectric Power Device Princeton,IN 47670 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device • Ciry,State 21P Code County El ❑✓ 2.Does the buyer have a homestead in Indiana to be El © 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, property via e-mail?(Provide contact information • including county: ow. ease see tn37ructi or more information. Not available in all counties) Address(Number and Street) • City,State ZiP Code cau 26-12-18-101-002 .478-028 Prima*,property owner contact name s/ E-mail Number License/1D/Other Number