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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
1Cif.PREPARER:7..1:17,,.7" :s'.-7 .;::,±f".7.::--.1.:"..4:7:1; ;;rt.3;5: : -1),';'.. 'I Jr:74- :..-'-'7,17;t7,71,11rf'C:-:..7-.:•;c"ciiI -C •27-3—;41".1"7.
Sherri S Hudson Closing Manager
Preparer of the Sales Disclosure Form Tide
501 Main Street Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville,IN 47708 812-421-4000
City,State and ZIP Code Telephone Number E-mail
Angela M Flpers
Seller 1-Name as appears one, eNance documeni Seller 2-Name as appears on conveyance document
/66?.E-9 SI .-121e4_5Qm.-t- An
02..,.:syllEnle.r.azift Stn i 1.1/ Address(Number and Street)
If A(4 b_Stadr , 3,10 V-7 39
/
Telephone Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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sienaiinvs'seser, •
Signature of Seller
FLB 0 7 20 4
Angela M Elpors
Printed Name of Seller 'Sign Date,fleie/DOfihrn Printed Name of Seller Sign DaterMWODAYMI
.iFi-BUYER(S)/GRANTEE(Sif+IIAPPLICATION F.ORPROPERTYITAKDEDUCTIONSe'IDENTIFY-ALL
David E. Utley
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
3411 Bronson Lane
Address(Number and Street) Address(Number and Street)
Evansville.IN 47711
Telephone Number E-mail ..
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENT a ALL OF THOSE THAT APPLY.
."
\SFS—NOL_ CONDMON/ • NO CONDITION
is 0 1.Will this property be the buyer's primary iKI p 3.Homestead
residence? Provide complete address of primary • ig 4.So ar nergy e- 'ii: oolE lit
residence,including county: , ;
0 TA S.Wind Power I.-vi ,1
/119g S' DwEA/sru_LE R o.
.Address(Number and Street) 0 1%1 6.Hydroelectric Power Device
Hinc_06 S 77)D 7-, iii, 4 717 3 9 a i DA) 0 151 7.Geothermal EnergfialintUAing Device
City,State ZIP Cade County
0 Is this property 0 p 2.Does the buyer have a homestead in Indiana to be 0 8. a residential rental pro erty?1. • Ai cf
vacated for this residence? If yes,provide 0 151 9.Would you like to receiyrtaattments for this
complete address of residence being vacated, property tils-Lmaip(lagyfonriyisitdcfmation
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
010--C) Q -10-00-0(70 . 087 -oay
City,State ZIP Code County
Primary property owner contact name E-mail