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Homestead_Stocker INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ;DIP:REPARERt. `>,._ :.v -aa , =.Y- - ,;.-7-, `-,r : _ . - :7 Peggy A.Ralston Title Assistant Preparer of the Sales Disclosure Form Title 3101 N.Green River Road Suite 130 Columbia Title. Inc. Address(Number and Street) Company Evansville,IN 47715 812-471-8563 pralstonecolumbiatitlegroup.com City,State and ZIP Code Telephone Number E-mail i n E L l i a t I S W G R A N T O R(S)k j, n i r .:,. _ - -r t.•. - . _ •_ ->•a — - - " --- - —- ;;11 r-r _. , _ '_/11 Board Revocable I iving Trust by Gina B Staley as Co-Trustee Board Revocable I iving Trust by April L Board as Co-Trustee Sell^rl-Nome as appears on conveyance Seller 2-Nome appears on conveyance document $a5 44e✓nal: -e. lzs, S. ycV ize.-t�a.)il ea_ Ad (Num and Street) rms(Number an Street) kva( Under penalties of perjury,I hereby certify that this Sales Disclosure,to he-b- • my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance wi • 6-1.1-5.5,". •. • • : •rty Sales Disclosure Act". a. � +► Site of Seller Ti1tFt•II Boa Revocable I iving Trust by Gina B Staley 2/212015 Board Revocable Living Trust by April L Board 2/2/2015 Printed Name of Seller Sign Date(MM/OD/YYYY7 Printed Name of Seller Sion Date IMN/OD/YYYY) aFTBUYHR(S)/GRANTEE(S)ttAPa rt:ATIONTE OR•P12 0P,ERTYLTAkbEDUGTIONSBDENTIF.YrAffinTEMSiTHATEMP,,LY T _ John P.Stocker • Buyer 214 go on1 document ra Buyer 2 Name as appears on convey edocvment AddrarfO`fvmb1,0ha '^�✓/I� /� 4 nou Address(Number and Street) -11' THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDEN'Td&.1�tr( HOSE THAT 'J YES NO CONDITION I YES NO CONDIT(O(IOr��� _,J 0 ❑ 1.6Vil1 this property be the buyer's primary 0 ❑ 3.HomesteStYt h.:Vz residence? Provide complete address of primary ❑ © 4.Solar Energy HEig/Cooling System residence,including county: / ❑ 0 S.Wind Power Device TO 214 South 1150 Fast R Address(Number and Street) ❑ Z 6.Hydroelectric Power Device Oakland City, IN 47660 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ Q 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 ❑ 171 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) 36— I1 ^ 1- 0D-&OD . p'S Yet -DOG Ciry,State ZIP Cade County 4 Itll\ f[ CJI� l•l/ Primary property owner contact name E-mail