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Homestead_Roberts '` INDIANA SALES DISCLOSURE FORM SDF ID: lMge 2 Karen S.Creek -_ Closing Agent Preparer of the Sales Disclosure Form Title 501 Main Street, Suite 101 Bosse Title Company Address(Number and Street) Company Evansville,IN 47708 812-421-4000 karen.creekiieffbosse.com City,State.and ZIP Code Telephone Number E-mail CE.SELLERS)/GRANTOR(5) I._ _ :; .:IL: ._-. 7- -- ' --°' - ' ._ _ �'•- -- -=----David W Reeder DeAnn M Reeder Sell Name as appears an c veya document Seller 2-Name as appears on conveyance document X �a •, Z x aria• E. ta� s A rest(Number and Street) Address(Number and Street) e251/ (dxc S c-1'&-,( N-. Li � C+Rc-c.c� t 1� L4•�likk c er penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct rid c mplete as requir �,law, ..�Id is prepared in accordance with I 6-1.1-5.5,"Real Property Sales Disclosure Act". c a azure of Seller r4 at Signature of Seller 1 David W RPeder rAa1p`111 Fi' DeAnn M Reeder X CAl&�l 14 Printed Name of Seller Sian Oat -MM/DD, Printed Name of Seller Sian Date, N/aD/YYYY) F:BUYER(S)LGRANTEE(S)._APPLICATION FOR PROPERTYTAX DEDUCTIONS'IDENTIFY ALL ITEMS THAT.APPLY''t _.__: /Daniel Roberts 1 Brooke Schulze Buyer l-Name �ars a Dys pl on conveyance document uyer2-Name vs a➢pea conveyance document rr t i• 5 / ! t..nln uJ .r 71 Address(Number and Street) Address(Number and Street) f..•,r;- ar,.YLu,t tNl 4,Co Li a rA i,t4, SA) ¢p54,9% THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES Nn C DITIQN NU L lf}f `l ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homeste - - residence? Provide complete address of primary '411111\ G , o ar Energ ,�y- sa /- residence,including county: ❑ m Ieol .G (�2ine4-f St S.Wind Pow•: 1• is Fddress(N9mber and Street) ,I ❑ 0 6.Hydroelectric Power Device ort f J r au &h, ,L n 'T 7 6 Lg- ❑ a 7.Geothermal Energy Heating/Cooling Device City,State Z P Cade County 2.Does the buyer have a homestead in Indiana to be ❑ TA B.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) 'C �i2• 3 O1 coo. 6/7_ 0 at C a(� City State ZIP Code County Primary pro perty own er contact name E-mail