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Homestead_Riley
INDIANA SALES DISCLOSURE FORM SDP ID SDO ID 1793760 Paget D.PREPARER Bryceann Cutsinger Prepare,of the Soles Mutate Form Tide 226 W Broadway Street Broadway Title.Inc. Add,rss(Number omnl.Soeer) Company Princeton,IN 47670- _ 555-555-5555 samantha.bti @mw.twcbc.com City.Stare,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Eldon Ray Evans Artetta M.Holder Seller I•A'ume ue appears on conveyance Joanneat Seller Z-Nome as uppwcs on conveyance document 1714 N.Redbank Rd. 7888 E. 300 S. Address(Number and Street) Address(Number and Street) Evansville,IN 47720- Oakland City,IN 47660- Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an complet s rep red by law,and is prepared in accordance with IC 6-1,1-5.5,"Real Property Sales Disclosure Act". cct Signature of Seller Signature al Seller / / `l...t o1J (LAki Es-MA OS 6la /aofc A1dif A— Food e-r athuer,k,rme-r4P"r S:--m 'me Mn svvn P u,l Ca•. r tar Pier Ora,w.m.vvvm F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY Marcia Ellen Riley Buyer I-Nome in appears an conveyance document Buyer 2-Name us appears on conveyance document 332 S. 1050 E. Address(Number and Street) Address/Number and Street) Oakland City,IN 47660- '. f YES NO CONDITION YES NO CONDITION . , o ❑ 1.Will this property be the buyer's primary © ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy i f L�I It System residence,including county: ID El 211 S.FRANKLIN 5.Wind Power Device Address(Number and Street) ❑ © 6.Hydroelectrir(r' veer Ai ^. • Oakland City,IN 47660 GIBSON ❑ © 7.Geothermal - ,1. v `�n v t �alTi evice City,State ZIP Code County GIBSO ! © ❑ 2.Does the buyer have a homestead in Indiana to be ❑ © $ Is this proper[}'a residential rental property? vacated for this residence? If yes,provide ❑ © 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. 332 S. 1050 E. Not available in all counties.)lag Arldrec (City,IN and 476 Street) �n/�I^ b I - p00• OD Oakland City,IN 47660 GIBSON (�V— 1 4�- c-3 City,State ZIP Code County IIIVJJJ Primary property owner contact name E-mail