Homestead_Brown (33) INDIANA SALES DISCLOSURE FORM SDF 1D 1 a
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..iason.I L.S fpindler Attorney ��
P epater of ale So es Disclosure Porn; Title
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Add: (Number nail Street) 1.1111111011Y
_Princeton, TN 47670 _
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Yolanda L, Tolbert ,
.Seiler I-Name as appears an conveyance document Seller 2-Nome as appears an conveyance document
', 3034 Abbott Street
Address(Number and Street) Address(Number and Street)
Fort Wayne, iN 46806 _ ______
' Caj;Stare,and 7JPCode City.Store.and ZIP Code
Tcleplauee Number c-roof!
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an conrpl . ui law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Si,:a Jre el Seller Signature ofSeiler
.Yo da T. Tolbert (l9/24/7020
Printed t ame.r f Seth r Sr an Dnte(.!1(t/Dt , )U Printed Name a Sjgn Dine�tfM/DD/r}1'n
vn iii 7.,.E1r€ 1 T rig 2f.' 1 >tl' fi. art R¢ -tit I I/�•_'1Selle NO:2, IIWI :.:r 1 %:'^.' a fi. 1
lolm Brown —
mT,.r I•Nome as appears an conveyance document Buyer-Nome as appears an conveyance document
6D.9. —Eor LS.treel T � -
Address(Number and Street) ttddn u Number and Street)
IDENTIFY ALL OF THOSE THAT APPLY. • ��"�
YES NO CONDn'1ON YES NO CONDITION2 ❑ 1,drill this property be the buyer's primary ❑ S,Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ 1' 4,Solar Ener t Heating/Cooling System
residence,including county: ❑
..09 N. Ford Street � a.Wind Power Device
4d&ess(Number and Street) ElLYJ 6,Hydroelectric Power Device
.Brinceton, IN 4767.0 CibSen.— ❑ [' 7.Geothermal Energy Heating/Cooling Device
C:tv,State ZI .ode County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 2 S.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ We 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,
229 S. Seminary Street Not available in all counties.)
Address(Number mid Street)
1rinc.e#Qn, IN 47670 Gibson 26-12-07-202-000. 397-028
City,State 211'Code County
Primly property owner coototttturtut liar r11
Number hice;nseflD/Other Number