Homestead_Reynolds (6) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Kathy Masterson CLOSING AGENT
Preparer of the Sales Disclosure Form Title
501 Main Street,Suite 101 Bosse Title Company,LLC
Address(Number and Street)
E-mail
E.SELLER(S)/GRANTOR(S)
Janet R.Perry
Seller I-Name as appears on conveyance document Seller 2-Nmne us appears on conveyance document
217 E.Walnut St.
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670
City,State,and ZIP Code City,State,and ZIP Code
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
Janet R.Perry 07/22/2020
Printed Name of Seiler Sign Date(MM/DD/YYYY) Printed Name ofSeller Sign Date(MM/DD/YYYY)
E(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
• Joyce A.Reynolds
u er 1-Name as u • ce document Buyer 2-Name as appears on conveyance document
221 .Wynoose Rd--
Address(Number and Street) Address(Number and Street)
Noble,IL 62868 FILED
APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTI rOFFltOSLTH7F Y.
/NO CONDITION NO CONDrr1ON
,YES,
❑ 1.Will this property be the buyer's primary Er 0 3.Homestea: g/Cooling
GIB N COUNTY AUDITOR CB
residence? Provide complete address of prima •
System
residence,including county:
❑ 0' S.Wind Power Device
217 E.Walnut St. ❑ I 6.Hydroelectric Power Device
Address(Number and Street)
❑ a7.Geothermal Energy Heating/Cooling Device
Princeton,IN 47670 Gibson ❑ ❑ 8.Is this property a residential rental property?
City,State ZIP CodCounty 0 ry
Ec�J 9.Would you like to receive tax statements for this
ElDoes the buyer have a homestead in Indiana to be
property via a-mail? (Provide contact information
vacated for this residence? If yes,provide below.Please see instructions for more information.
complete address of residence being vacated, ies.)
including county:
Address(Number and Street)
6-12-07-203-001. 178-028
City,State ZIP Code County Primary pm tertro'mer-Gentactaa E-mail
License/ID/Other Number