Homestead_Moore (11) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Britany Bradshaw Agent
Preparer of the Sales Disclosure Form Title
226 W Broadway Broadway Title, Inc ,
Address(Number and Street) Company
Princeton, IN 47670
E-mail
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Eric R Moore Jamie D Moore
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1405 S Jefferson Ave 1405 S Jefferson Ave
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670 Princeton, IN 47670
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 ' IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature ofSeller Stt tare of Seller
/i Eric R Moore (j 23/2o.0 Jar�hi D.Moore (PP 3/, O)om
Printed Naen(_Seller Sign Date(MM/DD/YYYY) Printed Name ofSeller ate(MM/DD/YYYY)
Ii a:ii,jgoormo :swoption eA R RO E_ZT'fiA#X D'EDIT'C r s'`II tammLT I MS 'USTPI,'ti,y S<xY I
Ire-Dakota Allen -
•%me as appears on conveyance document Buyer 2-Name as appears on conveyance document
528 A North Main St
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670
E-mail Telephone Number Jul i 24 2020 E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPER SE THAT APPL
YES NO CONDITION YES NO CONDITION
EI ❑ 1.Will this property be the buyer's primary ❑✓ ❑ 3.Homestead BSON COUNTY AUDITOR CB
residence? Provide complete address of primary a 1771". 4.Solar Energy Heating/Cooling System
residence,including county: ❑
1405 S Jefferson Ave , 5.Wind Power Device
Address(Number and Street) ❑ [' 6.Hydroelectric Power Device
Princeton,IN 47670 Gibson
❑ V 7.Geothermal Energy Heating/Cooling Device
City,State ZlP Code County ❑ i—y g Is this property a residential rental property?
❑ ❑✓ 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide ❑ 2 9.Would you like to receive tax statements for this
.. complete address of residence being vacated, ' 7 rovide contact information
including county: below.Please see instructions ore information.
Not available in all counties.)
Address(Number and Street) 26-12-18-103-003 .481-028 E
City,State ZIP Code County
Primary pr., _•.. •••• E-mail s
Number License/ID/Other Number