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Homestead_McKannan (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER CHRISTINA LATHAM TITLE CLERK Preparer of the Soles Disclosure Form Title 4703 THEATER DRIVE REGIONAL LAND TITLE Address(Number and Street) Company EVANSVILLE,IN 47715 812-402-4553 CHRISTINAeREGIONAL-LT.COM City,State and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S) Myron Kent Winkler Jennifer I Winkler Seller I-Name as appears on conveyance document ,Seller 2-Name a appears on conveyance document Y. .'256 L. Li s-0 s `I ° C . ( 6 l5n S Address(Number and Street (Number and Street) X A4i/11/C, reAl .z A, v >I7o -Yr;nce-eon 11J y74-7O Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and oMete as required by law,atd i pared in accordan with IC 6-1. -5.5,"Reeal Property Sales Disclosure Act". Al- V( V" knk ,l U.l t- _ Signature of eller a S' attire ofSeli p;yron Kent Winkler >-0.-- 020i V •i r' - L It. - Printed Name ofSeller Si nDa (M.M/DD/Yrm Printed Name of Seller Sign Date(.Ma/DD/YYYn- F.BUYER S GRANTEES)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALt I TAT - - �.- '. : „ annan TAT/ ! JJ Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance cocument 304 S First Street MAY 15 2014 Address(Number and Street) Address(Number and Street) Francisco, IN,47649 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION •DtPIB igl ❑ 1.Will this property be the buyer's primary I ❑ 3 Homestead residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System residence,including county: ❑ J 5.Wind Power Device 304 S First Street Address(Number and Street) //(� ❑ 0 6.Hydroelectric Power Device Francisco. IN.47649 ulBsag ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 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 e-mail?(Provide contact information including county: below. Please see instructions for more information. Not available in all counties.) Address(Number and Street) Kevin R.McKannan ale-/.3"// - o201- 000./7/-00-C City,State ZIP Code County E-mail Primary,property owner contact name