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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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D PREPARER .�.�'�4;, � 4
Brian K.Mahoney Attorney
Preparer of the Sales Disclosure Form Title
822 Main Street,P.O. Box 176 Mahoney Law Office
Address(Number and Street) Company
Petersburg, IN 47567
E-mail
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C E SELER(S)AVOT_1OR(S); _ -c
Nyoka Alice Huddlestone Erc\ I f Rook," 0, 5
Seller 1-Name as appears on conveyance documeeAt Seller 2-Name as appearl on conveyance document
4170 3e /�'r L.iA a JA 4.4.E 5D30 W Fni t i nKci
Address(Number and Street) Address(Number and Street)
f rt C, ) o.. � � ' rd 7 E r- nu i lit. atv q1'1 i -
City,State,and ZIP Code City,State,and ZIP Code
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 6-1.1-5 "R al Pro all s Disclosure ct".
r4/1 a.'lro C�{� XifYie�• - ✓✓��Signof Seller /Signaturf eller
Nyoka Alice Huddlestone ///9It 6 -pr iC f_t1q 'lciA ail l(1 9 .�oao
Printed Name of Seller Sign Date( M/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F BUYER S P GRANTS„ �.__, -.(_-)/�, _,_ ___E(S)_ APPLICATION FOR.PROPERTY TAX DEDUCTIONS 'IDENTIFY¢ALL_ITEMS_THAT APPLY _P__._.__. ____, -.
Shelby Marie Gordon
Buyerl-Name as appears on conve once document Buyer l-Name as appears onconve n eTIL.,,, ,Fi' D
aa3 (Yl dn+
Address(Number and Street) Address(Number and Street)
rAr lnll�, , I Q L('�i-(5 NOV 2 3 2020
E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OFeil&>'a QN7(A(> UI JTY AUDITOR
YES NO CONDITION YES NO CONDITION
❑✓ ❑ 1.Will this property be the buyer's primary [I ® 3.Homestead
residence? Provide complete address of primary ❑ ✓❑ 4.Solar Energy Heating/Cooling System
residence,including county:
621 N Main Street ❑ 25.Wind Power Device
Address(Number and Street) ❑ ❑✓ 6.Hydroelectric Power Device
Oakland City, IN 47660 Gibson ❑ ❑✓ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 22.Does the buyer have a homestead in Indiana to be ❑ 2 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)
26-114- t$-203-oC>o .'ch -co 1-
City,State ZIP Code County
Primary property owner contact name E-mail
Number License//D/Other Number
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