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Homestead_Elpers (40) INDIANA SALES DISCLOSURE FORM SDP ID: Page2 ;DaP,REBARER. 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 closings(atruetitlein.com City.State,and ZIP Code Telephone Number E-mail i ECSELLER(S)/GRANTOR(S) -_ .,--- -. ' - '- __ -_, --__ 7_-7;.,TT 1 ARRY G GEORGES Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 11746 S Owensville Road Address(Number and Street) Address(Number and Street) Haubstadt Indiana 47639 City, 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 aid corn teas requiredby bylaw, prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". /x ��// Signature of Seller 6 Signature of Seller 1 ARRY G (;FORGFC . 07/ Z I /7014 Printed Name of Seller Sian Date(AIM/aD/YYrq Printed Name of Seller Sign Date(MM/1V/rvn7 iFiIBUYER(S)/.GRAN:TEE(S);,AP,P,LICATIOMEORtP,ROPERT.+Y/TAX'DEDUCT;IONSADENTIEY,Alt@ITEMSTHATtAP,,P,L'YC,—LT.v_ 81 AKE E. ELPERS ABIGAIL ELPERS Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 11746 S.Owensville Road 11746 S.Owensville Road Address(Number and Street) Address(Number and Street) Haubstadt, Indiana 47639 Haubstadt. Indiana 47639 City SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary (z) ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence, including county: ❑ fil 5.Wind Power Device 11746 S Owensville Road Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Haubstadt. Indiana 47639 ❑ g 7.Geothermal Energy Heating/Cooling Device City,State ZI Code County ❑ 0 8.Is this property a residential rental property? ❑ 2.Does the buyer have homestead in Indiana to be ❑ E 9.Would you like to receive tax statements for this vacated for this residence? If yes,provide complete address of residence being vacated, property via e-mail?(Provide contact information including county: below. Please see instructions for more information. / 22 Not available in all counties.) L� Address(Number and Street) 2Jo— —)0 3 0 0 002 Coo 0a 1 BLAKE E.8 ABIGAIL ELPERS Ciry,State ZIP Code County Primary property owner contact name E-mail Under