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Homestead_Altgilbers (2)
INDIANA SALES DISCLOSURE FORM SDF ID: D.'PREPARER .;_ Paget • CHRISTOPHER E. CARL ATTORNEY AT LAW Prepare of the Sales Disclosure Form Title 101 PLAZA EAST BLVD: SUITE 102 - TRUE TITLE SERVICE LLC- •- -. Address(Number and Street) Company EVANSVILLE INDIANA 47715 812-402-6555 City,State,and ZIP Code Telephone Number Email .E.SELLER(S)/CRANTOR(S) - rgf— — _. . ,.._, - .__ . HEATH R SINGI ETON JAMI=I SINGI RON . Seller l-Name as appears on conveyance document Seller 2- Name as appears on conveyance document 1106 E Evans Street 1106 F Evans Str>°t Address(Number and Street) Address(Number and Street) • Princeton Indiana 47670 Under pen •ti, of perju .ereby c, ly that this Sales Disclosure,to the hest of my owledge and belief,is true,correct and •• . e • as requi -d by law . • sated in accordance% 1 i IC''n .11.5.5 t"Property Sales Disclosure Acts, Sr .r fSeller '' //__ l/S(gJtore of Seller R_SINGLETON 06/L-? 2015 J MIE I SINGI N 06/ Z 0015 Printed Nemec;Seller Sion Date rMw/oo/YYYn Printed Name of Seller Sian Date(MM/DURYrn .F::BUYER(S)/GRANTEE(S) -.APPIJCATION,FOR-PROPERTYTAX.DEDUCTIONS CIDENTIFYALIAT'EMS,THATAPPLY= -:._i -- JESSICA LYNN ALTGILBFRS r2 Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document r ) 1106E Evans Street e� Address(Number and Street) Address(Number and Street) Princeton, Indiana 47670 C P THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE iT I -- • • / YES NO cosornoN I YES NO CONDmON 00/J�I i z ❑ - 1.Mil this property be the buyer's primary El ❑ 3.Homestead TY /� �- residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling SysT4ity- residence,including county: -O,? 1106 F Evans Street ❑ [7i 5.Wind Power Device Addro,(Number and Street) ❑ 0 6.Hydroelectric Power Device Princeton,I Tana 47670 GIBSON City State Z7 Code County ❑ ❑ 7.Geothermal Energy Heating/Cooling Device ❑ 2.Does the buyer have a homestead in Indiana to be ❑ B.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ izi 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) e1 /d-Of- o/ O6/ 79/- 0.22 JESSICA LYNN ALTGILBERS City,State VP Code County Primary property owner contact name E-mail s