Homestead_Moore (12) i 1/DIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Britany Bradshaw , Agent
Preparer of the Sales Disclosure Form Title
!I 226 W Broadway Broadway Title, Inc
I Address(Number and Street) Company
;', Princeton, IN 47670
E-mail
MinkralMakARVOVIRMIAW-MTAMIIRIESKWaggiagelitMINORSitAIREMIMattiltf0,
Lula B Salters
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
, 1714 Cottonwood Dr
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
E-mail 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 requir d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller Signature of Seller
Lula B Salters Z, - 23-. .2O'2.0
Printed Name of Seller Sign Date MM/DD/YYYY) Printed Name ofSeller Sign Date(MM/DD/YYYY)
MOW tiltANT'EE($MAPuPLICiA. ta.l FOR PRO .ER` Y I'AXDEDUGTIQ S' D MS THA1 APP.Y .MI IR . t,
' Eric Ryan Moore Jamie D. M Uo re,
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1405 S Jefferson St 1405 S Jefferson St
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. FILED
YES NO CONDITION YES NO CONDITION
❑✓ ❑ 1.Will this property be the buyer's primary ❑✓ ❑ 3.Homestead Jun 24 2020
residence? Provide complete address of primary ❑ g' 4.Solar Energy Heating/Coolii--
residence,including county: ,,,___,,,/// 5.Wind Power Device
1714 Cottonwood Dr ❑ GIBSON COUNTY AUDITOR CB
Address(Number and Street) ❑ ig6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ji ❑ 7.Geothermal Energy Heating/Cooling Device
City/State ZIP Code County
file
El El 2.Does the buyer have a homestead in Indiana to be 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ L9•Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
7 dS in idin co below.Please see instructions for more information.
\f e. yr'Oa Ac ,e_ Not available in all counties.)
lid r 4NAndStret
(� �bJlt�7(�7(� Il 26-12-06-402-002 . 472-028
City,State ZIP Code 1 County
Primary property owner contact name E-mail