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Homestead_Kennard INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER'$°"" _ ..'r...-,s -v.. t. : - -_-tm. wtr-= n , - .at-.;: ^-rn ;T-eYt_4 -- - . Karen S.Creek Closing Agent Prepare,of theSales Disclosure Farm Title 501 Main Street.Suite 101 Bosse Title Company Address(Number and Street) Company Evansville,IN 47708 812-421-4000 karen.creek@ieffbosse.com City,State.and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S)., - - . .. _ . . . _ - -• Amber Dawn Williams , Seq-i-/ytmeasa ranee, tfument Seller 2-Name as appears on conveyance document (t//1 J Ivl Jj/CY/J_tV Address(Number and Street)( ����� Address(Number and Street) Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an omplete as re uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature of Seller A(nberpawn Williams • ■1V1 L 16 - Printed Geller Sian Darn) Printed Nome ofS Sian Date{44 1 F.BUYER(S)/GRANTEE(S),�APPLI CATION.FORPROPERTY;JAX,DEDUCTIONSIDENTI L IT MSI�AT, PPI, M,�-�.--freSILr, .a.• I Beniamin D.Kennard Paige D.Kennard Buyer I-Name as appears on conveyance dacutnent Buyer 2-Name as appears on conveyance document 918 S.230 W. 918 S. 230 W. MAR 4 2015 Address(Number and Sweet) Address(Number and Street) Princeton, THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I Y , r CONI s: igi ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary . gi 4.Solar Energy Heating/Cooling System residence, including county: ❑ 5.Wind Power Device Address(Number and Sweet) ❑ NI 6.Hydroelectric Power Device City,State ZIP Cade County in 7.Geothermal Energy Heating/Cooling Device ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?ig vacated for this residence? If yes,provide ❑ El 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) a�—I(-1 V-b Da..0 c!. 51ti�7 City.State ZIP Code County -- --- Primary property owner contact name E-mail