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Homestead_Price II
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 CHRISTOPHER E. CARL ATTORNEY AT LAW Preparer of the Sales Disclosure Form Tide -101 PLAZA EAST BLVD., SUITE 102 _ TRUE TITLE SERVICE,LLC Address(Number and Street) Company EVA-NSVILLEJNDIANA 47715 812-402-6555 closinos(Thtruetitlein.com Cit);State and ZIP Code Telephone Number E-mail BRADFORD CRFFK JUDY LYNN GOODMAN Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2/r E.- -5/7 4 71‘.44/7 Sr !file F MFFR_LIIA-N n s r Addr (Number and Stree Address(Number and Street) /ISC(V, c Win. 4/7633 F ✓-g A/5 v I IIC - ,L xi Under penalties of perju ,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete ui by law,and is prepared in accordance with 6-1.1-5. "Real Prope ales Disclosure Act". amre Seller rr,^, Sag azure ofSAler / BRADFORD CRF K 05/ I W /2014 JUDY LYNN GOODMAN 05/i 4/1 /2014 Printed Name of Seller Sian Date IMM/DD/YYYY) Printed Name of Seller Sian Date✓na/DD/YYYI) 'Fl.BUYER(S)/GRANTEE(S) AEP:LICAT1ONiFOR PROPERTY TAX DEDUETIONS=:IDENTIF,Y'ALL ITEMS;THAT,APPLY_. __ _,_1:,_ __ __.`_ JAMES PRICE'II Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 10895 W 925 S Address(Number and Street) Address(Number and Street) POSEYVILLE,INDIANA 47633 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFI'ALL OF THO T P Y. IdI1-�/• YES NO CONDITION I YES NO CONDITION IN ❑ 1.Will this property be the buyer's primary Q ❑ 3. Homestead JUN 9. 2014 residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 10895 W 925 S ❑ n 5.Wind Power Dev' Address(Number and Street) ❑ z 6.Hydroeleare.sP fit ce,AUDITOR POSEYVILJ_E. INDIANA 47633 GIBSON ❑ 0 7.Geothermal Energy Heating/Cooling Device Cif);State l,Z/r/Code County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 51 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ Z 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. 721 STIERLEY ROAD Not available in all counties.) Address(Number and Street) 2. 9. ti o0 oo3.7y I 0 a I WADESVILLE.INDIANA 47638 POSEY JAMES PRICE,II City,State ZIP Code County Primary property owner contact name E-mail