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Homestead_Peach Jr INDIANA SALES DISCLOSURE FORM SDFID: Pane 2
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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