Homestead_Campbell (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Timothy Shea Processing Coordinator
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
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Josiah Newmaster Nicole Newmaster
Seller 1-Name as appears on conveyance document Seller I-Name as appears on conveyance document
801 S Main Street 801 S Main Street
Address(Number and Street) Address(Number and Street)
Fort Branch,IN 47648 Fort Branch,IN 47648
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 Pr erty Sales Disclosure Act".
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gnature of Seller Signature of Seller
Josiah Newmaster O 9 o S 2.Z,, Nicole Newmaster p Ci . 0 8- ZOZG
Printed Name ofSeller Sign ate(M /DD/YYYYJ Printed Name ofSeller Sign Date(MM/DD/YYYY)
iF BUYElt(Sl•/GRANTEE(S); APPLICATION;<F.:OR PROPERTQY=I;AXiD-'EDtICTIONS IDENPIRY>AtL•blTEMS THAT-APELYM :::.
Zackery Tyler Campbell Catrina Lynn Campbell
l;aye3 Namsayrs\rton nce document Buy ltRm appears on conveyance document
Address umbeerrandStreeeelt)1111 Addr 4urn� eranilStreet)
Q Y111CL1(1ft I N 41110 �
mail T,ev\le�onmber FILEDe E-mail
Sup 09 2020
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
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead GIBBON COUNTY AUDITOR CB
/� residence? Provide complete address of primary ❑ Q 4.Solar Energy Heating/Cooling System
residence,including county: ❑
801 S Main Street I 5.Wind Power Device
Address(Number and Street) El 6.Hydroelectric Power Device
Fort Branch,IN 47648 Gibson ❑ 21/ 7.Geothermal Energy Heating/Cooling Device
City,State IPCode County ❑ pj 8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ l21 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide property via e-mail?(Provide contact information
complete address of residence being vacated, below.Please see instructions for more information.
including county: Not available in all counties.)
Address(Number and Street) 26-18-24-204-000. 807-026
Zackery Tyler Campbell Catrina Lynn Campbell
City,State ZIP Code County Primary property owner contact name E-mail