Homestead_Whitehouse INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Patti Kolb Closing Manager
Preparer of the Sales Disclosure Form Title
226 W Broadway St. Broadway Title, Inc.
Address(Number and Street)
E-mail
E.:S:E at S em u . - VM M M.� .i,. �� ,� f E r1�, x`.. m
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John.1 Morgan by Norma,lean Harvey, POA
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
7984 F State Rd 64
Address(Number and Street) Address(Number and Street)
Francisco IN 47649
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 complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
"CT -, � ,� �s� � - —
Signature o Iler \ I Signature ofSeller
Norma Jean Harvey POA
Printed Name ofSeller Sign Date(MM/DD/YYYY) Printed Name opener Sign Date(MM/DD/YYYY)
E( 1,.sAEatallONlFORP,RQPERTnA ilea CTLO tall ttel LLwa MSTITA A t ..::,
Alex T.Whitehouse
Bu ar 1-Name as appears nveyance document Buyer 2-Name as appears on conveyance document
215 S Travis St.
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 FILED
City,State,and ZIP Code City,State,and ZIP Code
E-mail Telephone Number ,; + _ _
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. E OF THOSE THAT APP "~��•�K+M�
YES NO CONDITION NO CONDITION GIBBON COUNTY AUDITOR CB
0 ❑ 1.Will this property be the buyer's primary at ❑ 3.Homestead
residence? Provide complete address of primary ❑ ® 4.Solar Energy Heating/Cooling System
residence,including county:
7984 F State Rd 64 ❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Francisco, IN 47649 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
Ei❑ 0 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 ❑ El 9.W eive tax statements for this
complete address of residence being vacated, property via e-mail?(Prove tact information
including county: below.Please see instructions for mo 'nformatian.
Not available in all counties.)
Address(Number and Street) 26-13-21-100-000. 033-004
City,State ZIP Code County
Primary property owner contact name E-mail
Number License/1D/Other Number