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Homestead_Garrett INDIANA SALES DISCLOSURE FORM SDP ID: Page 2 T rDi'PREP.ARERti ' -_3. ..'�'� :._ , ,3. .. . --;_�. t_ x= s_ . CHRISTINA LATHAM TITLE CLERK I Preparer of the Sales Disclosure Form Title 4703 THEATER DRIVE REGIONAL LAND TITLE Address(Number and Street) Company EVANSVILLE, IN 47715 812-4024553 CHRISTINA(a�REGIONAL-LT.COM City,State and ZIP Code Telephone Number I E-mail iE:'SELI;ER(S)/GRANTOR(S)) .`__ ,_ ._.—...Sr -.v2___...-�_---�_C ,� . _a.:±-..t..1.j. _s.,_ k:.:-;::° ...-. JAMFS SKFI TON RAMONA T SKF) TON Seller I-Name as appears on conveyance document Seller 2-Name as appears an conveyance document ni. Address ber and Street) Ad r Number ara treet) X 11Ti .el^/Atied--✓�/7Or d/er j �zGz A/ v KA Under a alties of perjury,I ereb certify that this Sales Disclosure,to the4est of my knowledge and belief,is true,correct and c mete as required b _ , :nd is pre a d in accordance with 6 1.1-5.5,"Real e i y Sa iscl s e Act". p / a'�9� t g- too Sig rare of Seller S' nature of Seller JAMES SKFJ TON %1 MONA T SKFI TON Printed Name of Seller Sian ate(M.M/DD/YYYn Printed Name of Seller I Sian Date(MM/OD/YYYI) :F.,BUYER S GRANTEE(S)\_ t1PPLICATION,FORT,ROPERT,Y_TAXI:DEDUCTIONS;_1DENTIEY:ALGATEMS_ AT'APPLW.;,. BRADLEY W GARRETT J HANNAH J GARRETT air)er i-,mne us u,.,.r...a a conveyance document Buyer 2-Name as appears on conveyance document 6507 S 50 W 6507 S 50 W Address(Number and Street) Address(Number and Street) FORT BRANCH. IN 47648 FORT BRANCH. IN 47648 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT A APPLY. YES NO CONDITION I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary Co ❑ 3.Homestead residence? Provide complete address of primary ❑ El 4.Solar Energy vitro Oli residence,including county: ❑ r S.blind Power cA. tl 1f 6507 S 50 W �JJJLLLji"' Address(Number and Street) ❑ a 6.Hydroelectric Power Device FORT BRANCH. IN 47648 GIBBON ❑ SI 7.Geothermal Enelrgvd-lp a a ing Device City,State ZIPC `UCL 0 County ❑ NI 8.Is this property�a residential rental property? ❑ Does the buyer have a homestead in Indiana to be I vacated for this residence? If yes,provide ❑ 0 9.Would you like to eive x for this complete address of residence being vacated, property via a-m act information including county: below.PiePki4 PJkLQQUBh1YoAUiDkWQ Lrmation. Not available in all counties. IN Not (Number and Street) BRADLEY W G•"'ETT 014 '/1 If• DO - D DO-5016-0 City,State ZIP Code County Primary property owner contact name 8 mm,