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Homestead_Chatmon
INDIANA SALES DISCLOSURE FORM SDI;ID SDO ID 1799256 Paget D.PREPARER Samantha Cutsinger Preparer of the Sates Disclosure Form Title 226 W.Broadway Broadway Title,Inc. Address(Number and Street) Company Princeton,IN 47670- 812-386-1687 Samantha.bti©mw.twcbc.com City,State,and ZIPCode Telephone Number Email E.SELLER(S)/GRANTOR(S) Everett S Marling Ruby L Marling Seller I•Name as appeao on conveyance document Seller 2-Name as appears on conveyance document 1019 Rolling Barrel Rd. 1019 Rolling Barrel Rd. Address(Number and Street) Address(Number and Street) Pendleton,IN 46064- Pendleton,IN 46064- Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct aptl\cotgpjete as law,a d is prepared in accordance w�6-1.1-5.5,"Real perry Sales Disclosure Act". ((°/) q �r.tom' `/� 7 ' Signature of Seller Signal o Se // f•L V L - S / f 1 _ / a. 1 IA_An f� t A 1.�\t. I :�/',z. S -d Y _ • F.BUYER S GRANTEE S -APPLICATION OR PROPERTY TAX DEDUCTIONS-,upt 'Titj�; Lin y`.a Ce- Chamon atmon 1. . paean an conveyance document Buyer 2-Name as appears an conveyance document Or T l• I t 6 rs 2014 3213 Tiffany Ct. 3213 Tiffany Ct. Address(Number and Street) Address(Number and Street) Evansville,IN 47711- Evansville,IN 47711- /�,,,• ff THE SALES DISCLOSURE FORM MAY BE 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 © • 3. Home -:e residence? Provide complete address of primary ❑ 4.Solar Energy eating/Cooling System residence,including county: 70 N 1150E ❑ ❑ 5.Wind Power Device Address(Number and Street) ❑ ❑ 6.Hydroelectric Power Device Oakland Ciry,IN 47660 GIBBON ❑ © 7.Geothermal Energy Heating/Cooling Device Ciry,State ZIP Code County © ❑ 2.Does the buyer have a homestead in Indiana to be ❑ © 8.Is this property 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 •• 'I 'ins or more information. 3213 TIFFANY CT. 'at available in all counties.) Address(Number and Street) // 1l Evansville.IN 47711 VANDERBURG a r0 - 1 -t - 0 1 - ( oo - O0 0 .30 i -OO .- City.State ZIP Cade County „primary property owner contact name E-mail