Homestead_McGee INDIANA SALES DISCLOSURE FORM SDF ID: Pa e
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Chris Sullivan 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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Estate of H.Edith Britt,also
Seller 1-Name as appears on conveyance document Seller I-Name as appears on conveyance document
Address(Number and Street) Address(Number and Street)
state,and sir t.ot(e mare,and Li?code i "
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Telephone Number 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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Estate of H.Edith Britt,also known as Hazel Edith Britt,deceased;subject to the rights Estate of H.Edith Britt,also known as Hazel Edith Britt,deceased;subject to the
of William K.Poyner and Daniel A.Moon,as Personal Representatives rights of William K.Poyner and Daniel A.Moon,as Personal Representatives
BY: BY:
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
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drew S.McGee ) Bethany J.Freels
Buyer ,,,�".-.Fp=ots on'Tonveyance document Buyer 2-Name as appears on conveyance document ,
7003 N 900 Blvd 7003 N 900 Blvd
Address(Number and Street) Address(Number and Street)
DEDUCTIONS FOR THIS PRO . ENTIFY ALL E THAT APPLY. FILED
YES NO CONDITION YES NO CONDITION I
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
Jun 29 2020
residence? Provide complete address of primary rgy Heating/Coo
residence,including county: S.WindDevice
105 E Garfield Ave ❑ [j 5 PowerGIBSON COUNTY AUDITOR CB
Address(Number and Street) ❑ EI 6.Hydroelectric Power Device
Princeton,IN 47670 Gibson ❑ I 1 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ❑ 8.Is this property a residential rental property?
El2.Does the buyer have a homestead in Indiana to be ❑ I i 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide Provide contact information
complete address of residence being vacated, below.Please see instruction ore information;
including county: Not available in all counties.) `
Address(NumberandStreet) 26-12-18-401-000. 249-028
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