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Homestead_Blankenship (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 iD`.P,R RERC-- .•- 'a 7-1-77-7-r" 71 o ' 1-- --- - . . ._. , —, , Shannon S. Frank Attorney at Law Preparer of the Sales Disclosure Form Title 501 Main Street, Suite 305 Kahn, Dees, Donovan& Kahn, LLP Address(Number and Street) Company Evansville, Indiana 47708 812-423-3183 sfrank(@kddk.com City,State,and ZIP Code Telephone Number E-mail `;Ei,SELCER(S)y/GRANTOR'(Sr-• a.: `:_ 7:17---__ .. - .77,777-_-77-7. 777-ci; Stephen M Blankenship Beverly V Blankenship Seller I-Name as appears an conveyance document Seller 2-Name as appears on conveyance document 1710 MrDnwell Road 1710 McDowell Road Address(Number and Street) Address(Number and Street) Evansville Indiana 47712 Evansville Indiana 47712 Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c mplete as require�^d�by law and is prepared in accordance wit IC 6-1.1-5!/ "Real Pro dil7erty Sales Disclosure Act". tgn�m; / '_ N� (Signature er---' Stephen M Blankenship 1/' Z.S —/5 Beverly V Blankenship // .349-8/3 Printed Name of Seller Sian Date tMM/DD/M7) Printed Name of Seller Sian Date(MM/DD/YYYY) iTaUYER(S)%GRANTEE(SNAPP;L`ICATilbM ,ORI.PROP.ERTL AXSDEOUCTIONSjIDENTIFY ITSEMS/THATMPili rt- :r"--' 5�_ Jessica F. Blankenship Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 78 E. 1025 S. Address(Number and Street) Address(Number and Street) Haubstadt, Indiana 47639 Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERT THAT APPLY. YES NO CONDITION 'ES NO CONDITION Z ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Ener• 11j` r /C m residence,including county: ❑ ��E ..J 5.Wind Pow-i Il e Address(Number and Street) ❑ Q 6. Hydroelectric Power Device City,State ZIP Code County ❑ El 7.Geothermal EAU dean/tooling Device ❑ Q 2.Does the buyer have a homestead in Indiana to be ❑ n 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 0 9.Would you lil statements for this complete address of residence being vacated, properQIS80Nlgib'I f i it information including county: below. Please see more information. Not available in all counties.) Address(Number and Street) — IQ-31-(I-co -oco ,co3 -0e./Se City,State ZIP Code County Primary property owner contact name _ E-mail