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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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CHRISTOPHER E.CARL ATTORNEY AT LAW
Preparer of the Sales Disclosure Form Title
101 PLAZA EAST BLVD..SUITE 102 TRUE TITLE SERVICE.LLC
Address(Number and Street) Company
EVANSVILLE,INDIANA 47715 812-402-6555 closinos(aftruetitlein.com
City,State,and ZIP Code Telephone Number E-mail
ESEL'EER(SJ%GRANrTOR(SJE 17:t77 'r'__.•-_ —Th _rsik `-.77 x-' t':;
.IAMFS S HAVERS acting by and through SUSAN M HAVER AIF SUSAN M HAVERS
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
9771 5 Water Tower Drive 9771 5 Water Tower Drive
Address(Number and Street) Address(Number and Street)
Hauhstadt Indiana 47639 Hauhstadt Indiana 47639
Under , alties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an om lete as •eq it by law,and is prepared in accordance wi IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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attire of Seller Signature of Seller
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SUSAN M HAVERS AIF 12! 2 /2013 SUSAN M HAVERS 12/ Z3 /2013
Printed Name ofSeller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYYY)
3FitBUX S rtkANtEE(SYZAPPEICATI ONIFOR+PROP.6RTpYiTAXDEDUCTIONSFIDENTIF,Y;AfiMEMSITHATAP1?liY". „-
_,DSEPH W.RENDLE
conveyance document Buyer 2-Nome as appears on conveyance document
9771 S.Water Tower Drive
Address(Number and Street) Address(Number and Street)
Haubstadt, Indiana 47639
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TD APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I FY S moms_
❑ 1.Will this ? Provide a the m complete primary of Q ❑ 3.Homestead
Car Energy nJ/�
residence? Provide complete address of primary �—ff--�} Solar n olio
residence,including county:
111 IN 5.Wind Power c
9771 S Water Tower Drive
Address(Number and Street) ❑ IZ 6.Hydroelectric Power Device
Haubstadt, Indiana 47639 ❑ 0 7.Geothermal EnergPi etth2/E29�
fang Device
City State,IP,Code County
❑ 2.Does the buyer have a homestead in Indiana to be 111 0 8.Is this property a re idential ren .1 +r+,erty?•
vacated for this residence? If yes,provide ❑ 0 9.Would you like to ...' .Tfa ri i ments for this
complete address of residence being vacated, property viGn3goH COM • • WogtOD'If¢j':>Jnation
including county: below.Please see instructions for more information.
Not avai +• - a. .
Address(Number and Street)
JOSEPH W.R • OLE elt!' /ri" 3o' 9 7 oD - ood••3 7 Z -0•2-
City State ZIP Code County -
Primary property owner contact name E-ma7