Homestead_Friedman (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Timothy Shea Closer__
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) •
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Judy A.Rehlander
Seller 1-Name as a pears on c nveyance do fitment Seller 1-Name as appears on conveyance document
(1CA-- ffl 0 OR
Address( be_ra eet) /1t`t N 0 Address(Number and Street)
stare,an aP t ode i `'I state,and LIP code
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".
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Si atureo eller �--• (�/ti i?g Signature ofSeJ►er
Judy A.Rehlander 6►l O1 0
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
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" Jason C.Friedman
Buy?" ^tom^^^ onveyance document Buyer 2-Name as appears on conveyance document
1860 N 100W 1860 N 100W
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670 Princeton,IN 47670
E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. FY ALL OF THOSE THAT APPLY. FILED
YES NO CONDITION S NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead Jun 03 2U1U
residence? Provide complete address of primaryJJ /
P ar nergy Heating/Coolill��!�'
residence,including county: ❑ El 5.Wind Power Device GIBSON COUNTY AUDITOR CB
1454 S Metro Dr -
Address(Number and Street) ❑ 21 6.Hydroelectric Power Device
Princeton,IN 47670 Gibson ❑ m 7.Geothermal Energy Heating/Cooling Device
City,State IPCode County ❑ j7 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,provide
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available ' un tes.
Address(Number and Street)
Jason C.Friedm 26-11-13-300-001. 614 027
City,State ZIP Code County Primary property owner con t name E-maB
Number License/ID/Other Number