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Homestead_Crawford (2) INDIANA SALES DISCLOSURE FORM SDF ID: ' Page 2 ID..PREP,.ARER. -- — - -- - -- - _ _._.. . -- - -- -- CHRISTINA LATHAM TITLE CLERK Preparer of the Sales Disclosure Form Title 4703 THEATER DRIVE REGIONAL LAND TITLE Address(Number and Street) Company EVANSVILLE. IN 47715 812-402-4553 CHRISTINAeREGIONAL-LT.COM City,Stare,and ZIP Code Telephone Number E-mail . T .. _ :_E.,SELLER(S)/GRANTOR(S)• _—_-- _—.-- _ _: _ - - ---- -- — _-- .— TylAr S Lovelecs • Seller I-Na a as appears on cony anc document Seller 2-Name as appears on conveyance document Qress SNumbera d Street) Address(Number and Street) Do r(9K ev ! %1 LI7 ( 6, ' c, Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct andLQnytete as re - 'fed by la nd is preps In accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller C' ��YV� Signature of Seller Tyler S Loveless 5) 8/ d TT -._ Printed Name of Seller Sian ate(M.M/ flYIYI I Printed Name of Seller Sian Date(F04/DD/YYn) _F.BUYER(S)/GRAN TEE(S)_-APPLICATION FORPROPERTYTAXDEDUCTIONS,IDENTIFY,ALL ITEMS THAT APPLY__ _--__ _ _ Ashley L. Crawford Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document )0 ID (5 i,Jrslm(i,--fan 54 n4ddress(Number and Street) Address(Number and Street) W iYCe-fDII P K) U10-70 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 YES 0 CONDITION 466 Er ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead-.ultISON COUNTY AUDITOR residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System residence,including county: ❑ S.Wind Power Device 1010 S Washington St. Address(Number and Street) ❑ 51 6.Hydroelectric Power Device Princeton. IN 47670 Gibson ❑ 15 7.Geothermal Energy Heating/Cooling Device City,State ZIP.ode County ID 2.Does the buyer have a homestead in Indiana to be n 0 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 0 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) (1p 1 City, ZIP County 2 Ia - r7-I0 I 00 ) . D ga -oa8 ry, Primary property owner contact name E-mail