Homestead_Reynolds (5) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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D RRl l'AARER t -f �. ..I , .-: .., x�,>-" ,,l r i,ktA`- � 1*W #«_ _ , a MI- .K . E ,._.._:: , tf,t
Britany Bradshaw Agent
Preparer of the Sales Disclosure Form Title
226 W Broadway Broadway Title, Inc
Address(Number and Street) Company
Princeton, IN 47670
City,State,and ZIP Code Telephone Number E-mail
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Jason Brucks
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
328 N Seminary
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
City,State,and ZIP
E-mail Telephone Number E-mail
Under a alties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c Iete as required b w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signs a (Seller Signature ofSeller
Jason rucks 6"--6-- O
Printed Nam Sign Date(MM/DD/YYYY) Printed Name ofSeller Sign Date(MM/DD/YYYY)
_.'. ( }-70:a. ). '1' ,ICnti Nr OMQ,ERTi'TAXDEMC TDNS jD NM1A.DL 'EMSEI AP' .. _, v_ ..4 ._,.YT
Kathy L n eynolds
• u e on conveyance document Buyer 2-Name as appears on conveyance document
96 W 800S APT 1106
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 '
E-mail Telephone Number FILED E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
Jun 05 2020
0 ❑ 1.Will this property be the buyer's primary ✓ 3.Homestead
residence? Provide complete address of primary ❑ Q 4. o ar nergy Heating/Cool
including county:
516 N Gibson 5t ❑ Li 5.Wind Power Device GIBSON COUNTY AUDITOR CB
Address(Number and Street) ❑ 4Aw. 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 7 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
El ❑✓ 2.Does the buyer have a homestead in Indiana to be El Z. 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ gr 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: eow.Please see ins r or more information.
Not available in all counties.)
Address(Number and Street)
26-12-07-201-001. 848-028
City,State ZIP Code Coun
E-mail
Number License/ID/Other Number