Homestead_HintonINDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
Charlene Salaietra Title AQent
Preparer ojthe Sales Discfosure Form Title
600 N Weinbach Suite 410 Foreman Watson Land Title, LLC.
Address (Number and Street) Company
Evansville, IN 47711
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Robert W Brown
Seller 1- Name as appears on conveyance document Seller 2- Name as appears on conveyance document
P.O. Box 4273
Address (Number and Street) Address (Number and Street)
Evansville IN 47714
E-mail Tele hone 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
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Robert W B[Qwn 1� �~I �
Printed Name o Seller Si n Date MM DD Printed Name a Seller Si n Date MM DD
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� BII��R:S = CE�I�TEE � ��PPG��'�i���4R�RQ�'�R'�`T'�II�I�EI"�'��4 . . ;_:..� . . . .. ,_.. . : � -_- . _ ��_:. __ _. . . _....._
Robert V Hinton Darlene K Hinton
Buyer 1- Name as appears an conveyance document Buyer 2- Name as appears on conveyance ocument
S I Z�1 i�; �15 � � I Z� (� y? S l_.
A ess (Number and Street) Add s(Number and Street)
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mail Tele hone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCfIONS FOR THIS PROPERTY. ENTIFY ALL OF THOSE THAT APPLY.
YES O CONDITION YES O CONDITION
❑ 1. Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of primary � � 4. Solar Energy Heating/Cooling System
residence, including county:
5�� �/�% ,ZS �.► ❑ ❑✓ 5. Wind Power Device
Address(NumberandStreet) /� ❑ � 6. Hydroelectric Power Device
� � k'� � �? (�� S�'v ❑ 0 7. Geothermal Energy Heating/Cooling Device
City,StateZlPC e County
❑ 2. Does the buyer have a homestead in Indiana to be � 0 8• Is this property a residential rental property?
vacated for this residence? If yes, provide ❑ � 9. Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail? (Provide contact information
including county: below. Please see instructions for more information.
Not available in all counties.)
Address (Number and Street)
�� -o.�.-�.� �' •o a y -Qo a. D,_ � - o��
City, State Z!P Code Coun ty
Primary property owner contact name E-mail
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 Property Sales Disclosure Act". (Note:
Spouse information, So 'al Security and Driver's License/Other number re not necessary if n omestead Deduction is
being filed.) '" ? ?
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Signature of Buyerl Signature of Buyer2/Spouse
Robert V Hinton � � � �� � � Darlene K hinton 1 � /� �
Securiry
License/ID/OtherNumber Number License/lD/OtherNumber