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Homestead_Jessup
• LNDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1768799 Paget Peggy A.Ralston Title Assistant Preparer of the Sales Disclasure Form Title 3101 N.Green River Road Suite 130 Trustworthy Land Title Co.,Inc. Address(Number and Street) Company Evansville,IN 47715- 812-471-8563 pconner @twtitle.com City,State.and ZIP Code Telephone Number E-mail -' . ._ Ic ..... _.. . -:-,1 Gloria Kranitz Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 446 E.Old Petersburg Rd.CIO Robin Goldbach Address(Number and Street) Address(Number and Street) Princeton,IN 47670- Telephone Number 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". Signature of Seller Signnmre of Seller le 1i Zit /<//if ft( ( i� �lasl3 Pdn,M Nnma nr Seger ci n Mire r.4 mfln1 Pnnr.4 Nome ncSaper Piny Orr?, nerwn F.BUYER(S)fGRANTEE(S)-APPLICATION FOR'PROPERTY-TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY • •. - Amy B.Jessup Buyer I-f.'ame as appears on conveyance document Buyer 2-Name as appears on conveyance document 5445 Warrenton Road Address(Number and Street) Address(Number and Street) Evansville,IN 47725- Telephone Number E-mail 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 NO CONDITION © ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestead residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling System residence,including county: ❑ © 5.Wind Power Device 704 PARK AVENUE W Address(Number and Street) • ❑ ❑ 6. Hydroelectric Power Device Princeton,IN 47670 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device Ciq•,State ZIP Code County © ❑ 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 ❑ El 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. 5445 WARRENTON ROAD &U- \ Not available in all counties.) Address(Number and Street) Evansville,IN 47725 VANDERBURGH _/L, 11- 13- 20a - obi. 041-0a1 [try.State ZIP Code County CXV 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 be g filed.) Sign rea say C ! Signature ofetyer2/Spouse 14ltr (.SS�f p ti:26-l 3 Number License/ID/Other Number