Homestead_GentryINDIANA SALES DISCLOSURE FORM SDF ID: A26201020000634 Pa e 2
D.PREPARER
MICHELLE HAYNES CLOSING AGENT
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501 MAIN ST STE 101 BOSSE TITLE COMPANY
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'ANSVILLE IN 47708 (
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E. SELLER S GRANTOR S
WHITEHEAD, NORMAN F WHITEHEAD, HENRIEffE M
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3911 SMITH GROVE RD 3911 SMITH GROVE RD
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SCOTTSVILLE KY 42164 SCOTTSVILLE KY 42164
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Under penalties of perjury, I here65� cer[i(y that [his Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and complete as required by law, and is prepared in acmrdance with IC 6-7.1-5.5, "Real Property Sales Disclosure Act".
SiUno;ure o! Seller Signumre o/ Seller
WHITEHEAD, NORMAN F B/5/2010 WHCfEHEAD, HENRIETTE M
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F. BUY'ER 5 GRANTEE S-APPLICATION POR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
GENTRY, ALICE
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9715 NPPINGER RD
Addrecs (KwnMroMStrect) Address (A'wnber unJArreq
EVANSVILLEIN 47725
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TIIE SALFS OISCLOSURE GORM MAY OE USED TO APPLY FOR CERTAIA �EDUCTI015 i0R TIi1S PROPERTY. I OEYTIFY ALL OF TIIOSE TI1AT APPLY.
1'ES CONUITIOY � 1'fS CORUITIO\
.d� 7. bVill this property be the buyer's primary ❑ 3. Ilomestead
residcncc? Pro�•idc rnmpletc address of primary � 4. Solar Gnergy Fleating/Cooling System
residence, including county:
584 MEADOWLARK DR ❑ S. Wind Power Device
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PRINCETON 47670 GIBSON COUMTY � 7.CcothennalF,nergy Hcating/CoolinK Devicc
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;� 2. Does thc buycr ha�•c a homestcad in Indiana m he � 8. Is this property a residcntial rcntal proper[y?
vacated for this residence? If }'es, provide 9. Would you like to receive tax statemen[s for this
complete address of residence being ��acated, property via e-mail? (Yrovide coniact injormntion
induding county: below. Please see instructions for more information.
9715 CLIPPINGER RD No[ availnble in al( counties.J
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EVANSVILLEIN 47725 Vanderburgh Counry
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Under penalties o( 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 IC 6-1.1-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse in(ormation, Social Security and Driver's License/Other numbers are no[ necessary if no Homes[ead Deduction is
being filed.)
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GENTRY,ALICE 8/5/2010
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i.itense/ID/OtherA'umber Numher License/ID/OfherA'um6e�
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