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Homestead_Searcy
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 dD.P,REP,ARERi .ura Ft.;:ft z;,i' a; ,t' .'rt a?lita?S:IzS. -•.arc ` �gz,. Stephanie Miller Closer 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.wm City,State.and ZIP Code Telephone Number E-mail _SMELL WfSNI ANiTiOR'a-?Fi!-Mi '?.1 it :z:./rit ZW‘•r�' ara,r-- f�74 (:hrlcfhwli T. 13vu.c Seller I-Name as appears on conveyance document Seller 2-Name as a ears on conveyance iii aJ(i _ PP eyance document _Address and d Street) Address(Number and Street) ?nixe N1 ju 4-7(/-7c Under penalties of perjury,l hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". /( igna`n c ture of Signature of Seller GGhrG u, T ce. 5/2-2,12o)5 Printed Name of Seller Sign Date(MM/DO/YYY)) Printed Name ofSeller Sign Dote(MM/DD/YYYI) [F Y E n S)r/,G I W W F I I E E(S r f f g a g i'U A T I O 6 1 1 K U R)P.R O R E F a t f a A laDUeTION'S I D E N Th i F,a r t l a i l l i f i E M S I T H I A S P illr. 12 5 a1r_ .-i- 2 L f Bu) Name as ap non on nee drum t0 Buyer2-Name as appears on conveyance docu fig j� Street) fV Address v and THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THO ri1Np Y � ES NO CONDITION YES NO CONDITION UNT 0 i.Will this property be the buyer's primary �( ❑ 3.Homestead Vito, residence? Provide complete address of primary "bJ © 4.Solar Energy Heating/Cooling System 9•1;f1 resi residence,including county: Le 5t- -3 t1 ❑ FA 5.Wind Power Device VAddress(Number and Street) 1t 1�, ❑ iz 6.Hydroelectric Power Device n � ton 1k n17 I EI j b ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ EA 2.Does the buyer have a homestead in Indiana to be Q 8.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) City,State ZlPCode County 2 G-/o� - 3/ -ioo Coo 'S/o 5 oat Primary property owner contact name E-mail