Homestead_Myers •
INDIANA SALES DISCLOSURE FORM SDI,ID Page
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Jason M. Spindler Attorney
prepari r a[the Soles Disclosure Farm Title
112 N in Street _ Spindler Law
Address(Number and Street) Company
__Princeton, IN 47670
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__Victoria L. Uipion
,Seller I•Name as appears on conveyance document Seller 2•Name as appears at conveyance:document
7 51-5 IL). �(3i)11 31 o
Address(Number and Street) Address(Number and Street)
f\( (k Q("x ) L--. LQ r,)S yti
E-mail Tclethane 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
' ancI complete as r quired by law,and is prepared in accordance with iC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Victoria L. Gipson 17101/2020
Prir terl Nanre_afSeller Sign Date Nu/DD/}r tT Printed Name of Seller Skin Date(jif/DDIVM1
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IL il _ aw YG [Ty. S e- M tilt aC �_Q a. O !l A F j
. Chrlst .Myerc
Buyer 1-Non.c oppean on conveyance document Mayer 2•Name as appears on conveyance darument
12464 S 200 F_
Address(Number and Street) Address(Number and Street)
ilaubstadt, Indiana 47639
THIS OF PROPERTY. IDENTIFY ALL THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION Dec 03 2020
2 ❑ 1.Will this property be the buyer's primary 2 ❑ 3.Homestead ijhoEtt..--residence? Provide complete address of primary ❑ 4.So€ar Energy Heating/Cooln
residence,including county: ❑ 5.Wind Power Device GIBSON COUNTY AUDITOR CB
17464 S 200 F.Address(Number antdStreet) Eln 4l• 6.Hydroelectric Power Device
Ilaubstadt indiana 47639 Gibson ❑ U.• 7.Geothermal Energy Heating/Cooling Device
CRY.State ZiP Cafe County
❑ 2 2.Does the buyer have a homestead in Indiana to be ❑ $•Is this propel ty a res€dential rents€property?
vacated for this residence? If yes,provide ❑ g 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.) F
Address(Number and Street)
26-23-16-400-000.518-024 1
city,Stote 2!l'Code County E
Primary property owner con tact name Email
Number Llrensc/ID/(JtharNumber