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INDIANA SALES DISCLOSURE FORM 5DF ID: Paget
D:PRFPA.RER_== —
Stephanie Miller Closer
Pr c.er dee Salo Disclosure Form Male
4962 Lincoln Ave. first Advantage Tale
M1:l'm(Numb amsvea) Company
Evansvlle.IN 47715 812-490-8485 theteamefirstadvanagetitlecom
no,.w¢and n➢Code Telephone Number E-neS
ICSE1:lERISUGRANTOR(S)je'$�'v ANP.s a • am"--.4-_.-r=` ?=._ -,5 -
S•rnerry MHn.m ep al)tan novninnrn.nt lel-112223
Sere I-Kamen corm=as aznycote abetment sorer l-Nam.mammon on comme<e den.t
4i mc(l jz�ta •
Melrerycnb and sneer) Add.=(Number and Street)
(4.4-t&a--l'dt Erg 303)21
Telephone NUnie Cereal
Under penalties of perjury,I hereby certify that this Sales Dischakurtel�goT�fhfnijt eel v r r.• F P) "[is true,correct
and complete as required by aw,an is prepared in accordan brill at3flt�CR :Qles D- ontreAct .
Foreclosure sate Serer aes
3193—ittniepresentations or Warranty's .3o g, ' `" "°
or HUD by Otte
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s IS1 1PPUCATIONI EOWPROPER1SaTAX➢6VllttmT+S ) rte ailt :1iFfS:W{`asPli ii
Jamb A Vanlin
.....Samedmement EmSe 2-Nome m erpmm enntcee P t
713 W Virginia Street
Alt5OhmSe end Are) Addeea(Nmeler and Soren)
Evansville.IN 47710
TeJabere Humber
THE SALTS DISCLOSURE FORM MAY RE 05ID TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.:DENIM ALL OF THOSE THAT APPLY
YCS NO cONDRmx
17 ❑ i.Will this property be the buyer's primary I71 ❑ 3.Homestead
residence? Provide complete address of primary (j 4,-Solar Energy Heating/Cooling] gu1 1 2014
residence,including county: ❑ Q 5.Wind Power Device
4on W. Wnlnttt
nr to JN•47670 ❑ ❑ 7.Geothermal Energy ergy Devicees
Cay,Monn,IN 47670 Gibson ❑ (JJ 7.Geochermzl Energy Heatin
nq'sa:ZIP u` to be ❑ property e$lB$a)4i�jfTRr AUDITOR
❑ ❑ 2.Does the buyer have a homestead in Indiana to be B.Is this roe . ar
vacated for this residence? If yes,provide ❑ Cfl 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all counties.)
Adana(;mm_b and Street)
GO;Smle ZIP Cede Cony /d3-d�-/6/aO/. 9Y9-aa.aa
Pr ninnyPrere_ contact name _