Homestead_Moskos INDIANA SALES DISCLOSURE FORM SDF ID: Pane 2
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Jeff Fox Title& Escrow Processor
Preparer of the Sales Disclosure Form Tide
3930 Mezzanine Drive, Suite C Columbia Title, Inc.
Address(Number and Street)
mail
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Skyler J. Fpperson Jennifer J Fpperson
Sel) 1-_Plume sky app�earsan,c)nveyance a S document /leprl2--Vanr�as,aa)p earrc000/1/conveyanc (docmnent
Address,(Num rand Street v
-�., .eddress( unrher and Street) ,
Hat .. 47,Gt, [kJ q tu) t
E-mail
Under penalti �erj I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comp la s r uire aw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
S� Seller Si tare of S 1 r �
yler J. Fpperson ` �, • 1 Jennifer J. Epperson 1`I M a U
Printed Name o Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MA!/DD/YYYY)
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Trevor W.Moskos Alyssa M. Moskos
Buyer 1-Name aspears on conveyance document Buyer 2-Name s appears on conveyarn document
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Address(Num{ner-pndStreet) , Atrcv
tess(NumberandStreet)
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. FILED
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead Sep 1-6 2020
47,4fiet----
residence? Provide complete address of primary ❑ a 4.Solar Energy Heating/Cooli
residence,.includingcourty. ❑ S.Wind Power Device GIBSON COUNTY AUDITOR CB
�ddress(NumberandStreet) ❑ 6.Hydroelectric Power Device
� �1�L�l j \�� �(���f► ` U� ❑ 7.Geothermal Energy Heating/Cooling Device
Clty,StateZIP a County
El2.
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 ❑ [ 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)
26-18-28-100-000. 126-025
City,State ZIP Code County
Primary