Homestead_HitchcockINDIANA SALES DISCLOSURE FORM SDF ID:
D.PREPARER � _ . • -
Abbev Moore
R'eparer o(the Snles D'udosure Form
Evansville. IN 47715
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Russell W. Thomason
SvJier I- Name ¢s appmrs on ronveyance doavmen[
AdErar (Number ond Stree[)
Prinr.eton. IN 47670
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Trusrivorthv Land Title Co. Inc.
Compony
E-mail
Holly I Thomason
Sefler2 - Name as app�rs on aonveyonre docummt
1193 Taftown Road
Addr¢s (h'umber and Stree[)
Prinr.eton IN 47R70
Ciry, SmtG md ZIPCOde
penalties of perjury, t hereby certify that this Sales Disclosure, to the bes[ of my knowledge and belief, is true, correct
mplete as require�¢by law, and is prepared in acc9rdance with IC 6-1.1-S.S, "Real Proper[y Sales Disclosure Act".
o/sene.
Name as appmrs om m�veyanre dntument
Addrax (h'umberand Stree[J
Sm[e, and ZIPCade
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Buyer 2- Name as appenrsom m�veyanre documen[
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FORM MAY BE USED TO APPLY FOR CE0.TAIN DEUURIONS FOR THIS PROPERTY. IDEhTIFY ALL OF TNOSE TNAT APPLY.
YFS So COSUITIOY
Q � 1. Wi11 [his property be the buyer's primary
residence? Provide complete address of primary
esidence including county:
I 171 �. TQ�+ �o;�n P.d _
Addr (NUmberond5nret)
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� Q 2. Does the buyer have a homestead in Indiana [o be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Addrers (NUmber and SnrecJ
Ciry.Smre ZIPCade Caunry
❑✓ � 3. Homestead
� Q 4. Solar Ener� Hea[ing/Cooling System
� ❑J S. Wind Power Device
❑ ❑✓ 6. Hydroelectric Power Device
❑ ./❑ 7. Geo[hermal Energy Hea[ing/Cooling Device
❑ ✓Q 8. ls this proper[y a residential rental property?
❑ ❑�/ 9. Would you like to receive ta�c statements for [his
property via e-mail? (Provide contactin�ormadon
6elow. Please see instructions for more infarmatlon.
Notavailablet allcoundes.)
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Pnmary properryowner ronmct eame E-mail
Under penalties of perjury, t hereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and compiete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disdosure Act". (Note:
Spouse infor tion, Soci ecuri � nd Drive�'s License/O[her numbers are not necessary if n Hom ead Deduc[ion is
beingfil . �
Sjgnq reo�ii (Buyerl � Sjgn ireofBuyer2/Sp se
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hna S. Hiteheoek 5/13/10 MaMhew J. Hitchmek 5/13I10
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SDigiuojSocial5ecunryNumber Las[Sdigi[sofBuyer2/SpouseDriver's Stnte Lost50igitto�SocialSecurity
Lireue/ID/OtherNum6er Num6er License/ID/OtherNum6er