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Homestead_FinnertyINDIANA SALES DISCLOSURE FORM SDF ID SDO ID 471674 Page 2 D.PREPARER', . Laura Boyle Mortgage Loan Officer Preparer ofthe Sales Disclosure Form ntle Al Theater Drive Evansville Teachers FCU 4drm (Number and Street) company Evansville, IN 47715- E: SELLERS GRANTORS '. Estate of Karen S. McCarthy Seller I - Name as appears on conveyance document Seller - Name as appears on conveyance document 201 West Haub Street Address(Numberand Stmt) Address (Number and Stree.') Haubstadt, IN 47639 - City. State. and ZIP Cade City State, and ZIP Cade E -mail I Tele hone Number E -mail Under penalties of perjury, 1 her by certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and co plete as requirejrby law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". Si .a to ofseler G SignactreofSeller F TEE S - APPLICATION FOR PROPERTY TAX - l IFY ALL ITEMS THAT APPLY Charles T. Finnerty Anna C. Finnerty Buyerl - Name as appears conveyuntt dacumen[ Buyer2A'ame on conveyance document reel 1 West Haub Street AddrmTNumberand Street) Address (Number and Street) Haubstadt, IN 47639- Haubstadt, IN 47639 - State, and ZIP Code City State, and ZIP Code E -mail Telephone Number E -mail THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TH 15 PRO FALL OF THOSE THAT APPLY. YES NO CONDITION 1'ES NO CONDITION ❑ ❑ 1. Will this property be the buyer's primary Q ❑ 3. HomeataA residence? Provide complete address of primary —❑ 4. Solar Energy Heating /Cooling System residence, including county: ❑ © 5. Wind Power Device 201 WEST HAUB STREET ❑ © 6. Hydroelectric Power Device Address (Number and sweet) Haubstadt, IN 47639 GIBSON E] © 7 . Geothermal Energy Heating /Cooling Device ❑ © 8. Is this property a residential rental property? Gry, State ZIP Code County ❑ 2. Does the buyer have homestead in Indiana to be a 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. 548 EAST EISENHOWER Not available in all counties.) Q n aG /9 31 -,5113 6,6 T O. v Address (Number and Sweet) Haubstadt, IN 47639 GIBSON City. State ZIP Code County Primary property owner contact name Email Under penalties of perjury, 1 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, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is being filed) t Sign��dyerl Satire ofBuy�elr7 /Spouse ` lo�it%� C� ltzCEs i. ,nnttf I /C ;Jcnnr. t of Buyer l Driver's State Last 5 Digits of5ociol Security Number Last 5 digits ofBuyer2 /Spouse Driver's State Lost 5 Digits of Social Security License /ID 10ther Number Number License /1D /Other Number