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Homestead_Dill INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 :D.PREPARER-. CHRISTOPHER E.CARL ATTORNEY AT LAW Preparer of the Sales Disclosure Form Title • 101 PLAZA EAST BLVD.,SUITE 102 TRUE TITLE SERVICE.LLC Address(Number and Street) Company EVANSVILLE. INDIANA 47715 812-402-6555 closings{o3truetitlein.com City;State and ZIP Code Telephone Number E-mail • ,- -. - E:SELGER(S)/GRANTOR(S) - - _ BIl I Y 1 GRISWOI D Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document • 309 N Division Strppt - Addres(NumberandStreet) Address(Number and Street) Fransiscn Indiana 47649 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,arepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". �f A 'Tear-. Seller Signature of Seller _ : ,. , I I 1: a 3 Printed Name of Seller Sian Dote IMM/DD/YYYY) Printed Name ofSeller Sian Date(MM/DD/YYYY) tr BUYER(S)/GRANTERS)-.APP,LICATION FORPROPERTY.TAXDEDUCTIONS-IDENTIFY ALUITEMS THAT.APP.LY _ • r13RIAN A. 10,11 _ Th uuyer t-rvu1rie as appears on conveyance document Buyer 2-Name as appears on conveyance document 309 N. Division Street Address(Number and Street) Address(Number and Street) Fransisco, Indiana 47649 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 I YES NO CONDITION ❑ 1.Will this property be the buyer's primary U ❑ 3.Homestea?Th residence? Provide complete address of primary 4.Solar Ener e t g oOIT� residence,including county: ❑ © � �� S""1 3nq f.( ' V 1 bioO V11 er.� ❑ S.Wind Power e I 3J�J ddr�(NUmber and5ceet). bee ❑ � 6.Hydroelectric Power Device. ranei5eo , N �itif) C\1 b50 I _ ❑ [7] 7.Geothermal Ener[ffejig taling Device City,State ZIP a 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 ❑ 0 9.Would you like e1p,Y-• _� ��� -tementsforthis v.complete address of residence being vacated, property�.1��- ��i /� gcffrmation including county: below.Please see Ins chons�r more information. 5128 W.Franklin Road Not available in all counties.) Address(Number and Street) • •14-13-1) - 3o3 -006.01 y_Q O,S Evansville, Indiana 47712 Vanderburgh D' 1 t1 4 / City,State ZIP Code County Primary property owner contact name E-mail Number License/ID/Other Number