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Homestead_Phillips (4)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 `. PREPAREIti ` Ems ;.__. -,,y r I - x ,.. ram;"'. _.,:f Y zti..., ,Y.... . _. ._.. Britanv Bradshaw Agent Preparer of the Sales Disclosure Form Title 226 W Broadway Broadway Title, Inc Address(Number and Street) Company Princeton, IN 47670 City,State,and ZIP Code Telephone Number E-mail E SELLE$(S)/d12ANTO WIN- ...� __r.... i. T y �k _. .. =: . w 9� �- �.� -,n.7._,.. ,'',,.r_.... r fl.-:F� � ...1"-..,... rn,...��5�-� � ...,a��.,. , ....._v_ _ P � ,,.se. Timothy J Wallace Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 736 Old Canton Pike Address(Number and Street) Address(Number and Street) Cadiz,KY 42211 City,State,and ZIP Code City,State,and ZIP Code Telephone Number E-mail Telephone Number E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by,law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". x- Signanre of Sellere/ Signature of Seller Timothy J Wallace :210 Printed Name ofSeller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) f F BUI';ER(S)/G:RANT$E(S)-.,9PPLLCATION.FOR PROPERTY;TAX DEAMiJ.CTIONS"lDENTIl?1rALSITEMS- O APPLY _.. _ ,ine{ .e Travis Phillips Carletta Phillips Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 102 Chestnut St 102 Chestnut St Address(Number and Street) Address(Number and Street) Francisco, IN 47649 Francisco, IN 47649 City,State,and ZIP Code City,State,and ZIP Code F I LED Telephone Number E-mail Telephone Number Aug 07 2020 E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION 1J"R+��^•"�7��"'�"y^�'� [Z] ❑ 1.Will this property be the buyer's primary 171 ❑ 3.Homestead GIBSON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 102 Chestnut St ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Francisco, IN 47649 Gibson ❑ 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 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 including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) • 26-13-19-202-000. 226-005 City,State ZIP Code County