Homestead_Arbuckle INDIANA� SyA��+L�ES DISCLOSURE FORM SDF ID: Page 2
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Tim 5 le. Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
City,State,and ZIP Code Telephone Number E-mail
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Robert Lee Smith ksv 3, f11 ari r nm k 1- t Rk,sr by ��narnnM uN(
F41
Seller 1-Name as appears on co eyance document Seller 1-Name as appears on conveyance document
110 N 1st Ave 110 N 1st Ave
Address(Number and Street) Address(Number and Street)
Princeton,,IN(�
m ste lim
Telephone Number E-mail 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
complete as required by law,and is prepared in accordance IC 6-1.1-5.5,"Real Property Sales Disclosur ct".41,//ro ‘k- R 5g-VIS (1--L---1\-"-°' iim--1.4e.=CydA 4,,944-4/7,1A a
Signature of Seller Signature of Seller
Robert Lee Smith,by Brett Alan Duncan,AIF Robert Lee Smith,by Shannon Faye Douglas,AIF
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
'VAUI'1-fari TE MIlL PPI atforgi-IOM.RC+.PERT TAX DkI7UCTION- 1DFNTI I EIvl7S T rAT ilAYPETAMMVIZaragE2
Matthew D.Arbuckle
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1005 Creekside Court 1005 Creekside Court
Address(Number and Street) Address(Number and Street)
Newburgh,IN 47630 Newburgh,IN 47630
,
Telephone Number FILED E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. Dec 16 2020
YES NO CONDITION YES NO CONDITION f
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary at
❑ H 4.Solar Energy Heating/Cooling System
residence,including county: ❑ E( 5.Wind Power Device
110N 1st Ave
Address(Number and Street) ❑ RI 6.Hydroelectric Power Device
Princeton,IN 47670 Gibson ❑ E7 7.Geothermal Energy Heating/Cooling Device
City State/IP Code County ❑ ?( 8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ B 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide property via e-mail?(Provide contact information
complete address of residence being vacated,
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
Matthew D.Arbuckle 26-11-12-104-002.664-028
City,State ZIP Code County Primary property owner contact name E-mail
License/ID/Other Number