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Homestead_Stodghill
INDIANA SALES DISCLOSURE FORM SDI'ID_, SDO ID 1796791 Page 2 z D.PREPARER Peggy A. Ralston Title Assistant N_ Preparer of the Soles Disclosure Form Title 3101 N.Green River Road Suite 130 Columbia Title, Inc. Address(Number and Street) Company Evansville, IN 47715- 812-471-8563 pralston @columbiatitlegroup.com Ciry,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) Jeffrey A. Hill Lois S. Hdl Seller l-Name as appears on conveyance document Seller?-Name as appears an conveyance document . 3487 S.350 W. 3487 S.350 W Address(Number and Street) Address(Number and Street) Princeton, IN 47670- Princeton, IN 47670- Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct d comple' as requir • by I.w 4nd i prepared in accordance with IC 6-1.1-A or," . Prope ty Sales Disclosure Act". eirr LI IU1 MS . I S Z.a q- l q ' l of Set )41-8 r di-- 1 1 c;-n nn,,Pctinnn'YVV, Pr:-tad Nsma at fearr, ra.n-rn,vv,"^•WI'N BUYER(S)/ f'r 'TEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONc-IDENTIFY ALL ITEMS THAT APPLY Robert S.Stodghill Julia A. Stodghill • Buyer l-Nanea ••...ars on conveyance document Nome as appea n conveyance document 3 Street freer Address(Number and Street) Address(Number and Street) Fort Branch,IN 47648- Fort Branch.IN 47648- THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO - CONDITION YES NO CONDITION © ❑ 1.Will this property be the buyer's primary n n 3.Homestea residence? Provide complete address of primary�r--� n 4.So ar Energy Heating/Cooling System residence,including county: 3403 S.350 W. ❑ © 5.Wind Power DeA46 15 2014 •Address(Number and Street) ❑ © 6.Hydroelectric Power Device Fort Branch,IN 47648 GIBSON ❑ © 7.Geothermal E r;(: •�' -.'e o mg Device Clott State ZIP Code County © ❑ 2. Does the buyer have a homestead in Indiana to be ❑ © B.Is this pe L 4aIdAerFBmperty? 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. 304 W. LOCUST STREET k.--6E4,IV Not available in all counties.) Address(Number and Street) Fort Branch, IN 47648 GIBSON dz,_//dI, o_ oQi'd9,'f Qa City,State ZIP Code County o Primary property owner contact name E-mail