Homestead_PatelINDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
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Britany N Barnes � Searcher �
Prrparer o([he Sala Disdwvre Form Title I
226 W Broadway Broadway Title,lnc.
ACdrea(NUmbercndSVeeQ
I F-mail
'E: SEI.CER S � GRANTOR S -. c �t_,.cf�. �' � � '. x i�'�q .r'` . r, ..- ' - - t ' s_ '- - —
Gail Jones �
SellerlJ:ameasappeursonronveyanredxument Seller2-NameosappearsonronveyvnreCOCUmmt I
115 S Wesl St
Addrus (Number and StrtetJ Addr<ss (h'um6e� and Street) �
Patoke,IN 47666
Ciry. Smte. and ZIPCOde City. Smte, and ZIP Code �
Tele honeKUm6er E-mail Tele honeNvmber � E�moil
Under penalties o(perjury, I hereby certify [ha[ [his Sales Disclosure, [o the best of my knowledge and belief, is(true, correct
and c let a required by law, and is prepared in accordance wi[h IC 6-11-5.5, "Real Property Sales Disclosure Act".
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Signarvreo/Seller ��' � `/� SignaNreo(Seller' �
Gail Jones
PrinredA'ameo Seller Sian�are�HM o� Pnn[edA'ameo Seller Simbate MM/DD
�F�BUYER S' GRANTEE S:�.APPEICATION EOR PROPERT.Y,TAX DEDUCTIONS' IDENTIF,Y'AL��ITEMSTHAT�APP �tJ.�:�` � v-���.,,..;_:
Narayanbhai Patel �
Buyer ]- A'ame as appears on ronveyance dotumen! Buyer 2� Nvme as appears on mmtyvnre documen: I
73414 Prairie Dr.
.tddres (Nvmber ond 5[rnQ AdCress (A'vmber and StreetJ I
Evansville, IN 47725 N�
E-muil Tele honeA'umber � E�mail
THE SALES OISCLOSURE FORM MAV Bf USEU TO TPPLY FOR CF.RTAIN DEUUCI'IONS FOR THIS PAOPERTY. I DENTI F1' ALL OF TNOSE TNAT APP1.1'. OUNT�
1'FS NO CO\OITION YES AO CONDITIOM1 , c �
�✓ ❑ 1.4Vi11 this property be the buyer's primary ❑✓ ❑ 3. Homestead I Q�T��
residence? Provide complete address of primary � � 4. Solar Energy Heating/Cooling System ��
residence, including county: %
115 S West Si ❑ ❑✓ S. Wind Power Device I �J
Addreu(Numbe�and5treet) ❑ ❑✓ 6. Hydroelectric Power Device
Patoka, IN 47666 � �✓ 7. Geo[hermal Energy Heating/Cooling Device
Ciry. Smte ZIPCade Counry �
� ❑ ❑✓ 8. Is this property a residential rental property?
❑ 2. Does [he buyer have a homestead in Indiana to be �
vacated for this residence? If yes, provide
❑ ❑✓ 9. Would you like ro receive tax starements for this
comple[e address of residence being vaca[ed, property via e-mail? (Provide con�ct informotion
including county: below. Please see ins[ructions%r more information.
Not availa6le in all counties.) I
Addresr �A'umber ond Stree[]
o?�- D �a36- �aa - o00 �3 - a� °
Ciry. Smce ZIPCode Counp•
R'imaryproperryownerronmcmame � E-moil
Under penalties of perjury, 1 hereby certify that [his Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance wi[h IC 6d.1-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/O[her numbers are not necessary if no Homestead [)eduction is
being filed.) I
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Signamrea Bvyerl SignvtureofBuye�7/Spousr
Narayanbhai Patel � �' Q 6- 2 � � Cj
PnntedLegalh'
Las[SdigitsafBuyer2/SpouseDnver's Smte LastSDigifsof5ona15ecurity
License/lD/OtherNumber Number License/ID/OtherNumber