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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Chris Ferguson Closing Agent
Preparer of the Sales Disclosure Form Title
501 Main St. Suite 101 Bosse Title Company _ -
Address(Number and Street) Company
Evansville,IN 47708 812-421-4000
City,Stole.and ZIP Code Telephone Number I E-mail
MISERS)%GRANTOR(S .,_:_— =, --: _- - .-- : _ice j.-: :;; —__-. .
Todd Kite I isa Kite
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
373 E Hirsch Wood I n 373 E.Hirsch Woods Ln
Address(Number and Street) Address(Number and Sweet)
Haubstadt.IN 47639 Huabstadt IN 47639
Under penalties of perjury,l hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as rejaaica law,and is prepared in accordance with 1 6-1.1-5.$d"ftL Property Sales Disclosure Act".
1-•
CSignature of Seller' :--Sig ture of Seller.,
Todd Kite 11/27/2013 J isa Kite 11/27/2013
Printed Name of Seller Sign Date(MM/DO/YYY) Printed Name of Seller I Sign Date(MM/DD/n))
6'BUYER(S)%GRANTEE(S) 'APPGCATION;FORPROPERT,Yr;TAXI DEDUCTIONS‘L;IDENTIFY ALL{ITEMS;THAT?APPhY_—' '_._ -u' -
Travas Deal Sandra Deal I
Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document
6854 W.450 S PO Box 464 6854 W.450 S PO Box 464
Address(Number and Street) Address(Number and Sweet)
Owensville,IN 47565 Owensville,IN 47565
YES NO CONDITION YES NO CONDITION
IN ❑ 1.Will this property be the buyer's primary IA ❑ 3. Homestead I DEC 13 2013
residence? Provide complete address of primary ❑ 12 4.Solar Energy Heating/Cooling System
residence,including county: 1
❑ ig S.Wind Power Device
373 E.Hirsch Woods I n. 1p,p it �j7pmj•e
Address(Number and Street) ❑ 0 6.Hydroelectrij IOgv.',t+-Ce
Haubstadt, IN 47639 Gibson • • Co PU�TOR
❑ 7.Geothermal Energy Heating Looting evlce
Ciry,Stare ZIP Code County 1
❑ a _Does the buyer have a homestead in Indiana to be n 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via a- mail?(Provide contact information
including county: below. Please see instructions for more information.
Not available in all counties.)
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Address(h'umberand 50-eey /y't/ a -ooa 1a -oa Li
City,State ZIP Code County `� 6"a3��`i oo s
Primary property owner contact name I E-mail