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Homestead_Harper INDIANA SALES DISCLOSURE FORM SDF ID: Pa.e 2 l PREPARER ,,.... _. ...... V„- .V&. _.. v _..y.:. _.,,_M._.r.`..._.a. x a. zf Britany Bradshaw Agent j reparer o the Sales Disclosure Form Title 226 W Broadway Broadway Title, Inc Address(Number and Street) mail rill SELLERS ,410-61--goo;-aTrmxsgitvijoufetita,StnZtNaRVMISZEEtktifatNtiMZCMERIZSdEtMSMi Christopher F Adams Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 203 N West St Address(Number and Street) Address(Number and Street) Fort Branch, IN 47648 City,State,and ZIP Code City,State,and ZIP Code ( E-mail Tele.hone 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 a)complet 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 Christopher F.Adams .;)) )-_O Printed Name a Seller I Sign Date MM DDT/ Printed Name o Seller Si.n Date MM/DDa a_.R s G IT 14.ATIONF0}2 P720 PARTY TAX bEJ3UCT30NS IDENTIFY AL LkI.TEMSTHAfiAP_:PI:. _`__ E'_ ,c I I Alison Renee Harper Buyer 1- ame as appears on conveyance document Buyer 2-Name as appears on conveyance document 730 W Columbia St• Address(Number and Street) Address(Number and Street) Oakland City, IN 47660 . City,State,and ZIP •I CONDITION ❑✓ ❑ 1.Will this property be the buyer's primary 4 ❑✓ ❑ 3.Homestead GIBSON COUNTY AUDITOR CB residence? Provide complete address of primary ii t51 4.Solar Energy Heating/Cooling System residence,including county: 203 N West St ❑ 0 5.Wind Power Device Address(Number and Street) ❑ g 6.Hydroelectric Power Device Fort Branch, IN 47648 Gibson City,State ZIP Code County ❑ 07.Geothermal Energy Heating/Cooling Device 0 ❑ 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 ❑ 0 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information 7� inc] I county:, ' ;- . ' ease see ins • - , or more information. e/ rJl� �'U V)'i la 5�' - Not available in all counties.) ess'Number an Stree A Pal l �74 L D 4 26-18-13-403-000. 610-026 City,State ZIP Code County i .,tact,a n• E-mail Number License/ID/Other Number