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Homestead_Thacker
0► INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 .:PREPARER ._ . __ . . - - - D Stacey Salzman Closing Officer Preparer of the Sales Disclosure Form Title 4962 Lincoln Ave First Advantage Title Address(Number and Street) Company Evansville, IN 47715 812-490-8485 theteamefirstadvantagetitle.com City,State,and ZIP Code Telephone Number E-mail E>SELLER(SyGRANTOR(S)?' _ -_- _ _ -. - - , . . - Gary L Cook Belinda E Cook Seller I-Name pears on conveyance document Se(1sr 2•Name asap rs on conveyance document 595 rAu\t•r V13 ( (ki1c) \ C,c Add, s(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 and coo ete as required by I w,and is prepared in accordance with IC 6-1.1-5. roperty Sales Disclosure Act". ' Signature of er Signature of Seller Gary L Cook 4/6/2015 Belinda E Cook 4/6/2015 Printed Name of Seller Sian Date(htM/DD/YYiY)_ Printed Name of Seller Sian Date(MM/aD/YYYY) _F.,BUYER(S)/GRANTEE(S) APPLICATION FOR PROPERTY_TAX DEDUCTIONS--IDENTIFY ALL ITEMS THAT APPLY __. _ __-. ,_ .- ,_: Charles J.Thacker Buyer 1-Name as appears on conmunce document Buyer 2-Name as appears on conveyance document 7348 E State Rd 64 Address THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. C J YES NO CONDITION I YES NO CONDITION �/�/1(� El ❑ 1.Will this property be the buyer's primary [ ❑ 3. Homestead f�)�COUNTY residence? Provide complete address of primary ❑ © 4,Solar Energy H ating olings�sl[��IR residence,including county: 7348 E State Rd 64 ❑ BI S.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Francisco, IN 47649 Gibson ❑ z 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ S.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ IZ 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) 3c — City,State ZIP Code County 13-ao— a oo- ow . 739 0011 Primary property owner contact name E-mail