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Homestead_Hoehn (4)
IRDLYNNA SALES DISCLOSURE F011111 SDF ID 9 ' O ID 1763100 ` Page 2 ;D:'.PREPARER'; _ _ . :..:. :.,,y=` .: . - , - -:` :.. - : ----. .-.- .... . ,., _,;., - . .:_ -• . .. . . _: -: -. �- - Peggy A.Ralston Title Assistant . Prepare,-of the Sales Disclosure Form Tide 3101 N.Green River Road Suite 130 Trustworthy Land Title Co.,Inc. Address(Number and Sweet) Company Evansville,IN 47715- 812471.8563 pconner@twtitIe.com City;State,and ZIP Code Telephone Number E-mail - _ . - • Jeff Caudill Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 9551 Winyard Place Address(Number and Street) Address(Number and Street) Owensville, IN 47665- Telephone Number E-mail Under penaltie of p- = ry,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and corn ttto'. re t. ir•d by I.w,and ' red in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". _ - _ At a Sign•i•r-. -' Slgnamre of Seller \ i ( I [NI.( IZi—i3 or:... nr cinn On;,rwvmnmvn '•• "o.en ne cm"On,e rw•rnn mml YER(S)f6 TES--APPLICATION-FOR PROPERTY T. : DU, IONS--IDENTIFYA ITEMS THAT APPLY Adam C.Hoeh indsey A.Hoehn ame as appears on conveyance document - •pears on conveyance document 2 N.Sharp Street • 122 N.Sharp Street Address(Number and Street) Address(Number and Street) Poseyville,IN 47633- Poseyville,IN 47633- THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TH I • .IDENTIFYA R • •OSE THAT APPLY. YES NO CONDITION YES NO CONDITION © ❑ 1.Will this property be the buyer's primary , © ❑ 3.Homestead residence? Provide complete address of prim. • - . - nergy Heating/Cooling System residence,including county: ❑ 9551 WINYARD PLACE 5.Wind Power Device Address(Number and Street) ❑ © 6.Hydroelectric Power Device Owensville,IN 47665 • GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device City;State ZIP Code County © El 2.Does the buyer have a homestead in Indiana to be ❑ © 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. 122 N.SHARP STREET Not available in all counties.) Address(Number and Street) Poseyville,IN 47633 POSEY rJ _J 949-oo, 00 5• / -40.7 City State ZIP Code County - ✓LO 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,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is being filed.) n� m ( ,l vc err a. �&th - Sig tur ofBvyert Si namreo Bryer? > co►t ? f-iehl1 &21- 0 �i�1��eU t2 6�h 2 - 2i- I A 1