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1\DIAVqSALES DISCLOSURE FORAi SDFID SDOID 849857 Pape2
D.PREPARER �
�Samantha Culsinger
Reyvrer of [he Scla Disdarvre Fwm Titfe
226 W. Broatlway Broadway Ttle, Inc.
AJJrm (Num6er oM Sveetj Company
Princeton, IN 47670.
E.SELLER 5 GRr1NTOR S
Davitl B LambeA
Srller 1� h'vme us appevrs on �orrvew.rce Joavmmt Seller 1� Ncme w uppevrs om m�nryvnre dxument
307 S. Main St
Addrexs (Numbrr vnd SaatJ ACdrtn (NUmMr and5vett]
Haubstatlt, IN a7639-
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E-moil Te�e honeNVm6e. E�mnil
Under penalties of perjury, I hereby certlfy that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
andlcginQ� �as rgquire y law, and is prepared in accordance with IC 6-11-5.5, "Real Proper[y Sales Disclosure Act". .� �
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F. BUYER S�GRANTEE S- APPLICATION FOR PROPERTY TAX DEDUCTIONS- fDENTIFY ALL ITEMS THAT APPLY
Cynthia Rowe
6uyrr 1- Nmne ns opprars an ronveyunce Javmen[ Huyer 2� tiame as appeors an renveynnre daaummt
2100 N 5th Ave.
dddress(Numbrrand5�rxtJ ' Addra's(Numbe�vnd5trtte�
Evansville, IN 47710.
Ciry.Smte. artd ZIPCoCe Ciry.Sta:e, and Z/P Code
bmail Td hnneNmn6er E-mail
THE SALES DISCLOSURE FORl1 AfAY BE USED TO APPLY FOR CERTaI V DEDURIONS FOR THIS PROPERTY. IDEhTIF1' ALL OF THOSE TNAT APPL4'.
YFS YO COYUITION CO\DITIOY
Q ❑ 1. Will chis property be the buyer's primary f" .' 3. Homestead
residence? Provide mmple[e address of primary 4. Solar Gnergy I eaung ooling Sys[em
residence, including county: � �
307 S. MAIN ST 5. 4Vind Power Device
AAdress(f.'nmbrrcnd5uxo) � Q 6. Hydroelectric Power Device
Haubsladt, IN 47639 NOTAPPLICABLE � � �. Geuthe�mal Fnergy Heating�Cooling Device
Ciry, Smte IIPCode CounN
� � 2. Does the buyer have a homestead in Indiana ro be � � $� �s this property a residential ren[al property?
vacated for this residence? If yes, provide ❑ � 9• Would you like to receive tax statements for this
complete address of residence being vacated, properry via e-mai17 (Provide contnct information
induding rounry: below. Please see instructions%r more information.
a��n �' ��� ���- hbt ovailoble in all rounties.J
drerz h'um6oand5 t t) / 0 _ %� / n�� I^����0• O'r� '^^�
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NimarvPrope�ryo�me�mnmrf name 6'-mait
Under penalties of 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•5.5, "Real Proper[y Sales Disclosure Act". (Note:
Spouse informa[ion, Social Security and Driver's License/Other numbers are not ne�essary i(no Homestead Deducdon is
bein filed.)y
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