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Homestead_Hancock (2) r INDIANA SALES DISCLOSURE FORM SOF ID: 1 Page 2 D PREPARER Katharine Vanost Jones, PC President Preparer of the Sales Disclosure Form Tide 123 NW 4th Street,Suite 304 Vanost Jones Harmon Miller,LLC Addres(Number and Street) Company Evansville. IN 47708-1712 812-424-3518 kionesOcourtbuildinq.com Ciry,State,and ZIP Code Telephone Number E-mail ;fi15EL[ER(S)'/.GRANTOR(S): — T —T` Yankee Builders Inc by Rick I Hancock President Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document a�S Main Street �.H Address(Number and Street) Address(Number and Street) Haubstadt IN 47639 Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and i pre a d in J accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". /)�/ V Signature of Seller /n��� / Signature of Seller 1401.6 ( fi--0a ES 1,t-'G l61 12c.L44 tCcic /v2 I I 13 Printed Name ofSeller Sign Date(MM/DD/YYYI) Printed Name of Seller Sign Date(MM/DD/MT) 'F:iBUXER(S)'/GRANTEE(S) 'AP.PLICATIONT,,OR,PROPERTY,TAX!DEDUCTIONS 'IDENTIFY,'ALL ITEMS THAT APPEY-_. _'_ Rick L. Hancock BtyerI-Name as appears on conveyance document R H Buyer 2-Name as appears on conveyance document '8 zal®S. Main Street P.D. 3ck I Lb Address(Number and Street) Address(Number and Street) Haubstadt, IN 47639 THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION Q ❑ 1.Will this property be the buyer's primary (7 ❑ 3.Homestead g� residence? Provide complete address of primary ❑ [3 4.Solar Energy He /�o ingerQ q residence,including county: f/ .219 8. 1/11A-19 ST/1C e% ❑ 17 5.Wind Power Device ddres(Number and Street) �+ ❑ 01 6.Hydroelectric Powell:Etc/ 2 2 i3 / rs3 rn-07 r,✓ 4? L 39 &i8 6oA) ❑ [3 7.Geothermal Energy H�Ue�Catin11g/Cooling Device City.State ZIP Code County ❑ pit 8.Is this property a re ntial n rty? ❑ 0 2.Does the buyer have a homestead in Indiana to be 1lltnge vacated for this residence? If yes,provide ❑ ❑ 9.Would you li c�,,((QR r �inents for this complete address of residence being vacated, property via ta4RMA7 lry@ILT(Ynl Ahrpfiotlon including county: below.Please see instructions for more information. Not available in all counties.) Address(Number and Street) e2(0-1q-.3 I —3D 3-Coo,.5 i2 Z /9 City,State ZIP Code County Primary property owner contact name E-mail