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INDIANA SALFS DISCLOSURE FORM SDF ID: Pa e 2
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Abbev Moore Closer
Reparer o(Ne Sala Disdorure Form rtle
101 N. Green River Road #140 Truslworthv Land Title Co. Inc.
Addr¢s (Numberand SveetJ Compony
Evansville IN 47715
E�mail
,E:SELGER S GRANTOR 5 " - . ,. _ , ,
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Alann M. WiM
SrJler 1- Name u oppmrs on ronveyonce docvmen[ Seller 2- Name as appeors on ronveyanre docvmen[
528 S. Conrnrd Dme
Addrn's (Number and Stree[) Addras (Number ond Stree[)
Princetoa IN 47670
Ciry, Smte and ZIPCode Liry, Srate, and ZIPCode
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Under penalties of perjury, t hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, corred
and com lete;a's required by law, an �s prepared in accordance with IC 6-1.1-S.S, "Real Proper[y Sales Disclosure Act".
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PnbredNomeo Sel/er Si nDate MM/uD Rin[edN Seller S' nDafe NN/DD
'.,F.BUYERS GRANTEES -APPLICATION�FOR�PROPERTYTAX� CTIONS-IDENTI. �ITEMSTHATAPPLY'. � �
Gre o A. Norrick Renae D. Norrick
Buyer7-Nameasa omm�veyoncedocumen[ Buyer2-Nameasappe�rsomm�v nredocument
6201 Jamestown Ct. A�t A . ot A
Addras (NUmberand SPee[) Addres (Number and Street)
=vansville IN 47715 Evansville. IN 47775
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THESALESDISCLOSUREFORMMAYBEUSEDTOAPPLYFORCERTAINDEDUCf10N5FOR OPERTY.IDHNTIFYALL SETHATAPPLY.
YFS NO CONUITION YES NO COYDITIOU
`� � 1. Will this property be [he buyer's primary � � 3. Homestead
residence? Provide comple[e address of ima 4 gy Hea[ing/Cooling System
residence, including county: � � S. Wind Power Device
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�ddr¢s(NUmberandStreet) ❑ 6. Hydroelectric Power Device
�n�Q-�n --��� �'�',��� ❑ 7.Geo[hermalEnergyHeating/CoolingDevice
Ciry, Smte Z/PCode Caunry
�� 2. Does the buyer have a homestead in indiana to be $� �s this propercy a residenaal rental property?
vacated for this residence? If yes, provide ❑ � 9• Would you like to receive tax statemenfs for [his
comple[e address of residence being vacaced, property via e-mail? (Provide contact informadon
induding county: 6elow. Please see instrudions%r more information.
Not available in all coundes.)
Addras (Number and Stree[) / �/
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[iry, SmreTJPCOde Counry
Pdmarypioperryownerconmaname E-mail
Under penal[ies of perjury, t hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is [rue, correc[
and comple[e as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (NOte:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.)
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5(gnamreo%Buyert SgnamreofBuyer2/Spouse
�anrv A Nortick 21141i 1 RenaP D_ Norrick 2114/11
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