Homestead_WonningINDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
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"D�PREPARER'-��""+i...i�,w:�,�st^v�q..���..�*..���.'.�.�.�.'`�i�z.x-�..��`^�v`:c�v:,��,.-�,.t,��.a..�.�ir:s��d,^a2st"�`� ..��.-?��-s�s.�,..."t=.,�.$..��=?,:
Laura Rininqer Cbsina Coordinator
Pnparerofthe Sales Dtrclusure Form Ti:le
7820 Eaale Crest Bivd Ste 2(It Reoional Title Services LLC
Addr¢s(Numberand5veet) Company
Evansville. IN 47715
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aE:SELIER S GR:4NTOR S �.�.� h v�..� ��r .- ����xiz_�..s.?�
�rir R Nrwman Holly M. Newman
Selhr I-!/artre as appears on ronveyvnre Eocvmu.[ Seller 2- Name as appears om m�veyance dacvmmt
R574 N ArcPSS 850 N A577 N Acrecc 850 N
Addr¢s(Xum6rr ond Strert) Addrm' (Numbermd5vee[J
Ha�lPton IN 47640 Ha�letnn, IN 47Fi40
CIry.Smte. and ZIPCade Ciry.Smte, and ZfP lode
E-mall Te(e M1oneNumber E-mai!
Under penal[ies of perjury, 1 hereby certify [hat this Sales Disdosure, to the bes[ of my Imowledge and belief, is true, correct
and c mp/�lete, a/s required by law, and is prepared in accordance with I�C 6�- Su, J"Real Proper[y Sales Disdosure AcC'.
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5(gnamreo(Seller S{qn reo er
Frir R Nowman �2/74/2012_ Hol(y M Newman 12/14/2012
MntedNameolSelle� S(pnDvulAIM/DD Rin¢dName Shcer Si nDa[e MM/DD/YYn�
„F.'BUYER S � GRANTEE S �;r1PPG!@ATIONiF,OR+PROP.ER4'Y.TAX DEDU61?[ONS°'•IDENTIFY,i1LC�ITEMS,THAT`APP6Y�.��a��.`�':�..i�. :..
AW� B Wonnirm Caittvn M Bamhizer
Buyer ]- h'ame as apyearz on conveyvrrce docvmm[ 8y�er 2- Name as appears on mrtveyantt dorument
3282 S. Decker Rd. 3282 S. Decker Rd.
Address (Number anOSbcet) Address (Num6erand SbertJ
Vincennes IN 47597 Vincennes IN 47591
Ciry.Srute. andZlPCode Ciry. Smte. andZlPCOde
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THE SALFS DISCLOSURE FOIL'fl MAY BE USED T0.IPPLY FOR CERTAI.�' DEOUCf10N5 FOR THIS PROPERTY. IDE\TIFY AIL OF TNOSE Tf1AT APPLY.
YFS NO CO\DRION YES NO CONDil70Y
Q � 1. Wilt [his proper[y be the buyer's primary ✓Q ❑ 3. Homes[ead
residence? Provide complete address of primary � � 4. Solar Energy Heating/Cooling Sys[em
residence, including county:
A57� N Arrvcc A50 N ❑ ❑✓ 5. Wind Power Device
Address(Num&�and5veetJ ❑ ❑d 6. Hydroelectric Power Device
Hazleton IN 47640 Gibson � Q 7. Geothermal Energy Heating/Cooting Device
C/ry,SmteLPCoLe Cour,ry
� Q Z. Does [he buyer have a homes[ead in Indiana to be � ❑`� $• �s this proper[y a residentlal rental proper[y?
vaca[ed for this residence? If yes, provide ❑ ❑� 9• �Nould you like [o receive tax statements for this
complete address of residence being vacated, property via e-mail? (Provide contact injormodon
i ncluding county: 6elow. P(ease see instructions for more informatlon.
Not availa6le rn all countles.)
Address (l7umber a nd Svee[J
� �-o •�3� �oo �ao8" io oi�
CIry, Stare ZIPCode Lour.ry
Primary properry ou'ner ronma name E-mail
Under penalties of perjury, l hereby certlfy that this Sales Disclosure, to the best of my knowledge and belief, is true, corred
and wmple[e as required by law, and is prepared in accordance wi[h IC 6-11-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informatlon, Social Security and Drivers License/O[her numbers are no[ necessary if no Homestead Deduc[ion is
being filed J -
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SignamreofBuyerJ ' SignamreofBvyer7/Spouse
Alan R Wonning 7?/14I2012 �Q�yn AA Ramhi�ar 12/�412012
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LostSd(gitsafBuyer7Orivel's Smte Los[SDigiGSOfSocialSecuntyNumber Las[SdigiCSO�Buyer2/SpouseDriver's Sta[e LastSD(gi[sofSotialSecurity
License/ID/OtherNum6er Number License/ID/OtherNumber