Homestead_Moon INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Roman Ricker Partner
Preparer of the Sales Disclosure Form Title
219 N. Hart Street Partenheimer,Kinkle&Ricker
Address(Number and Street) Company
_ Princeton. IN 47670
E-mail
E•.SE LLER(S)%GRAN_TURg --- -.} .-.-. .. -. . : _: ._.;..- ,
Thomas D.Selby Caryn M. Selhy
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
807 Creek Drive 807 Creek Drive
Address(Number and Street) Address(Number and Street)
Fort Branch Indiana 47648 Fort Branch. Indiana 47648
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 bylaw,and is prepared in accordance with IC 6-1. -S ," al operty Sales Disclo ure Act".
P 8IP�aODO
Signature Seller Signature ofS er
Thomas D.Selby oil sci fie► Cacyn M.Selby
Printed Name of Seller Sian Date(MM/DD/Yrm1) Printed Name o Seller Sinn Date(ur.t/DD/YYYYi
F.Ruy,ER(S)%GRANTEE(S)=APPLIGATION PO,RTROPERTY TAX;DEDUCTWNS IDENTIF,YALG ITEMSII-AT,APP i' ,
Daniel A.Moon Jillian C. Moon
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
405 S.Seminary Street 405 S.Seminary Street
Address(Number and Street) Address(Number and Street)
Princeton, Indiana 47670 Princeton, Indiana 47670
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALLY HOSE THAT APPLY.
YES NO CONDITION Y• NO CONDITION
Q ❑ 1.Will this property be.: •r 's : -+ Q ❑ 3.Homestead
residence? Provide • 'it'ibi,add a" ., o A 1 ary in IL 4.Solar Energy Heating/Cooling System
residence,including'` •u • 4
807 Creek Drive ❑ 0 S.Wind Power Device
Address(Number and Street) AUG 2 2020 El 6.Hydroelectric Power Device
Fort Branch, Indiana 47648 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
Q ❑ 2.Does the buyer have a ••!; u;'•'• a to be ❑ Q 8.Is this property a residential rental property?
`!Tfi ❑ ❑ 9.Would you like to receive tax statements for this
vacated for thisp�g$t�,•.�e. �Y�ru., � .:Ide
complete address of residence einat��R property via e-mail?(Provide contact information
including county: l _1 of • l(( ,,,1 Ow.Please see instructions for more information. 1
405 S. Seminary Street a���l I }� 4 a}available in all counties.)
Address(Number and Street) `
, Princeton, Indiana 47670 Gibson