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Homestead_Peach Jr INDIANA SALES DISCLOSURE FORM SDFID: Pane 2 f4��pp ee�DD�tpp '.' '�ac �:�''.T.t�C ���-��-��`�- �' 7`` � �' �. ""*� a' '3- �r�"r"'it�"�+� 4",ry,-r;"' iMi ^ Timothy Shea Processing Coordinator Preparer of the Sales Disclosure Form Title 7820 Eagle Crest Blvd Ste 201 Regional Title Services Address(Number and Street) • " Todd W.Gonyer Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document 104 N Lincoln Street Address(Number and Street) Address(Number and Street) Fort Branch,IN 47648 state,and tir Lode State,and ttr Lode �/ — Telephone Number 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 with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". uA Signature of Seller Signature of Seller Todd W.Gonyer (70-1 I7k0 Printed Name ofSeller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) In k( r0 PRE APPI IGA!I!l0`I refor Oi?ERI"•1r Il'1 DEDU fnNggirr+Ih XAii -I'11EN(orHA ATiaoria - Jeffrey L.Peach,Jr. . on conveyance document Buyer 2-Name as appears on conveyance document 18323 Old Princeton Road Address(Number and Street) Address(Number and Street) Evansville,IN 47725 APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERT THOSE THAT APPLY. FILED YES NO CONDITION S NO CONDITION May 29 2020 V ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead J 1— residence? Provide complete address of prima rgy Heating/Cool residence,including county: ❑ Q 5.Wind Power Device GIBBON COUNTY AUDITOR CB 104 N Lincoln Street Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Fort Branch,IN 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State IPCade County ❑ 8.Is this property a residential rental property? ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 9.Would you like to receive tax statements for this vacated for this residence? If yes,provideproperty via e-mail?(Provide contact information complete address of residence being vacated, including county: below.Please i ructions for mor ' ation. Not av ' le in all counties.) Address(Number and Street) Jeffrey L.P ch,Jr. 26-19-18-303-000.462-026 Number License/ID/Other Number