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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D. ,REPARER Pam Hancock title administrator/closer Prepare(of the Sales Disclosure Form Title 221 NW Fifth St Lockvear Title, LLC Address(Number and Street) Company Evansville, IN 47708 .812-421-8405 pamela @tockyeartitle.com _ City,State,and ZIPCode Telephone Number E-mail E.SELLERS)/GRANTOR(S);. � ' - • Timothy Kruse and Stephanie Kruse husband and wife Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 3117 E SR 168 Address(Number and Street) Address(Number and Street) Fort Branch. IN 47648 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct andsumplete gs required by law,and is prepared in accordance w'th IC 6.1.1-5.5,"Real Property Sales Disclosure Act". Signa of Seller Signature of Seller Timothy Kruse 6-/3 -ma5./ Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller {{ f - n/ t/oo/YYYY) • F.BUYER(S)/GRANTEE(S '_=•APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL.lTE i. T Pl?L ', se M. Hidbrader and Alexa K.Will,Joint Tenants with Full Riohts of Survivorship �}�JN 2 2014 .... .... .. Buyer 2-Name as appears on conveyance docum a00N_Mein Street Address(Number and Street) Address(Number and Street) Fort Branch,IN 47648 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION NO i7YBM� ❑ 1.Will this property be the buyer's primary Q ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4. o a = - •. Ing/Cooling System residence,including county: ')bb rl. hu,.i n 'S-h'ee+ ❑ NI S.Wind Power Device dreatc(Number and Street) Q 6. Hydroelectric Power Device or- ?Joni -W LH/a • tSi u ❑ ❑ 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ E7) 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. 'ot available in a co' Address(Number and Street) City,State ZIP Code Cou - -1� -/8- /3-ya 2. - 000. 7 99-0 �"^^^'property owner contact name ail