Homestead_Riley INDIANA SALES DISCLOSURE FORM SDF ID Page 2
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Lana Harper Escrow Officer
Preparer of the Sales Disclosure Form Title
5231 Oak Grove Road,Suite A Total Title Services,LLC
Address(Number and Street) Company
Evansville,IN 47715 (
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Rhonda J. Reinhart
/con.,.I.Name as nnn,nrean conveyance document Seller 2-Name us appears on conveyance document-
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Ad ress(NutnoerandStreet) Address(Number and Street)
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City,State,and ZIP Code City,State,and ZIP Code
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
c . to as req fired b d is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller Signature of Seller
Rhonda J. Reinhart 11/02/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name o Seller
f Sign Date(MM/DD/YYYY)
. PETA SJ' APELivCA° l I OR PROPERTI'TA�t DEDiJCTIONS IDENTIFY AI L-JTBMS;T1IAT AP
Paula G.Riley
Buyer 1-Name as appears on conveyance document Ruyer 2•Name os appears on conveyance document
305 N.Race Street
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670
(;••mall Telephone Number E-mail
THE SAI.F.S DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. NovOG 2o2i)
YES NO CONDITION YES NO CONDITION V i. acelaht
❑ 1.Will this property be the buyer's primary 13 0 3.Homestead GIBBON COUNTY AUDITOR CB
residence? Provide complete address of primary
residence,including county: El 0 4-Solar Energy Heating/Cooling System
❑ 0 5.Wind Power Device
L% ��' �t L-� ��� ❑ 0 6.Hydroelectric Power Device
Address(Number and Street)
f , f ( } r ,' '`� { ❑ 0 7.Geothermal Energy Heating/Cooling Device
3 I1C`-e-i c ri 1 r�l�i `� L 7 v l c \ ❑ Q 8.Is this property a residential rental property?
City,State,and ZIP Code County
❑ 0 9.Would you like to receive tax statements for this
❑ Ei 2.Does the buyer have a homestead in Indiana to be property via e-mail? (Provide contact information
vacated for this residence? If yes,provide below.Please see instructions for more information.
complete address of residence being vacated, Not available in all counties.)
including county
Address(Number and Street)
26-12-07-203-003.267-028
Lltense/ID/Other Number