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Homestead_FreemanE N INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.P,REP3Eit`s -=.` DENISE HAYDEN TYPIST Preperer afthe Sala Disdasnre Form 79de 530 FREDERICA STREET FOREMAN WATSON LAND TITLE Addreu(A'umbercd Street) Company OWENSBORO. KY 42301 _ Email E. SEL 13 CRY NTOR '. a M ' 0.s` M'MXM - _M-_ THE =STATE OF CAROL J SHERIDAN THE ESTATE OF CAROL J SHERIDAN Seller:- Ncmea=C� ears or. can:elv�ocJgent / .iel!e-?r //D rvry n�ptumen= 5 =�l/J LGdfgs(lj— J 7aee A Mv.:.L dSte ) Z� 4" Ae— Mlu-.yile,a —t)6 ' � iv crr� Telerimme Nxehe E mail Te!e- hane,Yambe Under penalties of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowled a and belief, is true, correct and complete as required by la v, a is prep ed in accordance M S,/$enj Prope lQ§ Disclosure Act ". /t //� C��{!!!�%%% ",� .cry AAA ils� rgnccrz afSale grcerre of'_'eP.er TERFSA ANN KIESF CO- PERSONAI REP 0811 8120 1 2 DAVID JOHN KI SEI ,O-P RS NAt REP MI _12 Prn Ncme otRL'e 9cn DCefNN /ODRYttt P: ai Ceti Nam.<ai5<lfcr 51 naau NND/Y `: TAX�DEDUGTiQ F PN; FP_�I i0R0eHR1 iyS'=ii3E?�'IT<�= `- #�[`CEDiS JERRY A. FREEMAN Buyer I jcea vaavment PuyeZ ;leme as epparz on mnveycna docum<nt 102 S. VINE STREET 4ddres (Number and Street) Addrv�(NU.+rber and Saee =) . HAUBSTADT. IN 47639 Cirj, Smt_, and ZlP fade liy, State and ZIP Lade Tale hone:Yumbcr E-mail rele hone Number Email THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. IFS NO CONDITION I YES NO CONDITION ❑✓ ❑ ',.Will this propery be the buyer's primary Q ❑ 3. Homestead residence? Provide complete address of primary ❑ 0 4. Solar Energy Heating /Cooling System residence, including County: (} f n Q, -f"i^ ❑ ❑s. Wind Power Device ❑ ❑✓ 6. Hydroelectric Power Device „b<ramI S &W.) � TN 7 1 / ❑ ❑7. Geothermal Energy Heating /Cooling Device ❑ S. is this property a residential rental property? City, Stcar ZIP Cse F-1 Q 2. Does the buyer have homestead in Indiana to b� 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 a -mail? (Provide contact information including county: below.. Please see instructions far. more information. Not available in all counties.) �l 37 (o oo erend Stree:J _ Addressee I �� -t3 / --30 3 0do CIr�Smte LPCOde Cour. ty VP pW� PrLmmy property owner mrmaneme E -matt 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, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is being filed -) s*m.re ,a,, Signature ofBVee2/SPauu JERRY d EREEMAN nenannl2 - PrintedLegalA'ameofBuyerI Sign LastSdigitsof9uyerl Dneer's State Last 5 Digits ofSocfal Security Number Last 5 digits of Buyer2 /Spouse Driver's State Last 5 Digits ofSocla15ecurity License/ID /Other Number Number License/ID /Other Number