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Homestead_Caudill (2)
INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1784408 Paget D.PREPARER - i . Abbey Moore Closer Preparer at the Sales Disclosure Form Tide 3101 N.Green River Road Suite 130 Trustworthy Land Title Co.Inc. Address(Number and Street) Company Evansville,IN 47715- 812-471-8563 amoore @twtitle.com Cent State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) I Jamie L.Maikranz Seller I-Name m aPpean an miupvnce document Seller?-Name us appenn on eonvernm e document 10127 SE Browning Address(Numher and Sore.) Address(Numbernod Street) Evansville,IN 47725- 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 r and co rle[e as reyu�irce�d by la Cr if v,and is prepay• : in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Srdnat ve fSe11t Aannmre ofSelle: 1ty{I11a 1 r L raJ1 to.00•I•I• P:-Iml Nnmo arc.n.. � Mr.NU mn7l Prin-M prom n[cpnp. cif r n rov - r .r.n » 9Y. F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS_ IDENTIFY ALL ITEMS THAT APPLY Jonathon R.Caudill by Angela D.Caudill attorney-in-fact Angela D.Caudill Buyer I-Name as appears on conveyance document Buyer 2-Name as nppeorc on conveyance document 9900 Wnyard Place 9900 Winyard Place Address(.:umber and Street) Address(Number and Street) Owensville, IN 47665- Owensville, IN 47665- 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 1.Will this I YES NO 3.Homes F LE D © ❑ 1.Will this property be the buyer's primary © n 3.Homestead residence? Provide complete address of primary n n 4.Solar Energy Heating/Cooling ys e residence,including county: I�I 5.Wind Power Device 9679 WEST COUNTY ROAD 575 SOUTH I I © OCT 3 0 2013 Address(Number and Street) ❑ © 6.Hydroelectric Power Device Owensville, IN 47665 GIBSON ❑ © 7.Geothermal Energy Heating/cooling evic° Cm'.State ZIP Code Count, i1'1 WN' ❑ © 8.Is this property a r s ��IIenti 7 © ❑ 2.Does the buyer have a homestead in Indiana to be ulBSON CC vacated for this residence? If yes,provide ❑ © 9.Would you like to receive tax staremi enttAi;RhT9R complete address of residence being vacated, property via e-mail?(Provide contact information including county: below.Please see instructions for mole information. 9900 WNYARD PLACE Not available in all counties.) Address(Number and Street) Owensville,IN 47665 GIBSON ae_11-09 a00 _Dp4 . 080-0a I Cent State VP Code County Primary property owner contact nanrr Comal