Homestead_Held (2) INDIAyPANASALES 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)
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Richard J.Georges Jr. Joshua K Meeks
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance current
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Address(Number and Street) Address Number and Street),
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E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct I
an` omplete as equired by law,and is prepared in accordance w' C -1.. .5"Rea er les Disclosure Act".
Signature Seller -- e 1r
9 fS"nature of Seller
Richard J Georges Jr. b7 J shwa K Meeks - ii& ôPrinted Name°MSeller Sin D131>D1
te M / �� '� r
Sign ( /YY}7J Printed Name ofSeller Sign Date(1dM/OD/YYYY)
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A Joshlyn"P1nic - IA
Bu • -k,„•iidinvears rnn nce document Buyer 2-Name as appears on conveyance document _
243-ETennessee St
Address(Number and Street) Address(Number and Street)
Oakland City, IN,47660 - • •
CERTAIN DEDUCTIONS FOR THIS P . THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
❑✓ ❑ 1.Will this property be the buyer's primary ✓ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ 2 4.Solar nergy Heating/Cooling System
residence,including county: 5.Wind Power Device
1600 E Broadway St ❑ ❑
Address(Number and Street) ❑ ❑✓ 6.Hydroelectric Power Device
❑ 1:1 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ ❑✓ 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
including county: ow.Please see instru r more information.
Not available in all counties)
Address(Number and Street)
6-12-08-203-001. — 8
City,State ZIP Code County
Primary property owner contact name - E-mail
Number License/ID/Other Number