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INDIANA SALES DISCLOSURE FORM SDF ID: Pare 2
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Christopher E.Carl Settlement Agent
Preparer of the Sales Disclosure Form ride
101 Plaza East Blvd.. Suite 102 True Title Service. LLC
Address(Number and Street) Company
Evansville. IN 47715 (812)402-6555
City,State,and ZIP Code Telephone Number E-mail
3E'sEL'IiER(s)7GRANTOR(s) - - {_ . _. . .;_t TM '. elt x - _, . ; L7'; F -.- `` _ .A.Z.
Ora I Williams Catherine M Williams
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
705 East John Street 705 East John Street
Address(Number and Street) Address(Number and Street)
Fort Branch Indiana 47648 Fort Branch Indiana 47648
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and jjomple as required by law,and is prepared in accordance wit IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller Signature of Seller
Ora I Williams D I20/2013 Catherine M Williams oZ /cal/2013
Printed Nome of Seller - Sian Date(MM/DD/1Yn) Printed Name of Seller Sion Date(14M/DDMT11
E.FSBUYER S ;GRANTEES 'APPLICATi0N.FoRP..ROPERTY-TAX-DEDULTIONS%1DENTIFY,ALLITEMS.THAT.APPLY_- --.
eder Samantha J.Reeder
•- .. • ce document Buyer 2-Nome as appears on conveyance document
3320 N.Twelfth Avenue 3320 N. Twelfth Avenue
Address(Number and Street) Address(Number and Street)
Evansville. Indiana 47720 Evansville. Indiana 47720
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES ON
IN ❑ 1.Will this property be the buyer's primary 0- 151 ❑ 3.Homestead
residence? Provide complete address of primary ❑ ri 4.Solar Energy eating/Cooling System
residence,including county: ❑ ig
705 Fast John Street 5.Wind Power Device
Address(Number and Street) ❑ 12 6.Hydroelectric Power Device
Fort Branch. Indiana 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
Oty,S ZIP Code 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 ❑ SI 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.
3320 N.Twelfth Avenue Not n„nilnh)p in all nountipc)
Address(Number and Street)
Evansville, Indiana 47720 Vanderburgh Jonathan P.Reeder 026 -/9•/ '-3o01 -00 0 •0 0.0 2 -
City,State ZIP Code County 4
Primary property ow,rercunriet-nO v . .
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 b law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".(Note:
Spouse info I :tion,.ocial ecurity and Driver's License/Other numbers are not necessary if no Homestead Deduction is
b rig filed.)
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Signe:. e of Buyerl Signature of Buyer2/S pa use
.Innathan P Reeder 2 I P012013 Samantha.1 Reeder .2 / 20/2013