Homestead_House (2)�4n � � �('-}�'Y�('jJ(� Title Services
Preparerof[he5ala0"u osvreFortn Title
501 Main Street Suite 10� Bosse Tiile Comoanv
Addras(Numberand5tree[) �OfPO°^Y
Evansville IN 47670
f�muil
Seller 1� Kome as appmrs om m�vtyance dotumen[
Seller 2� Name as oppwrs on cnnvryvnce docvment
Addras [Numbo an E Sveet)
Ciry, Sm:S
Under penalties of p rjury, I hereby certify that this Sales Disclosure, to the best of my knowiedge and belief, is true, correct
and mplete a req �red by law, and is prepared in accordante with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
' tureo/Seller ^,L� S'gnamreofSeller
- •- � C� • O—i• �S lf� lr a T l�. ------
°^'rick R House Donn us 015
B•_yer I� Nam<ai apOmrs om m�veyantt documen[ Bvyu 2� Rame o+appears an wnrqnnce Cocv
3319 w�s+ 5� soutJ, 33w w�s+ 50 sou�+
ddrm (f: umbrr and5veerJ ddrar (Kumbo and5veet) '
�inceiron �d. 4"lfo"10 �rinca;on �d �� .
Ciry,S[a�e,andZlPLode � NTYAUDIT4�^ .
Ciry.StotKandLPCade _ _ ___ _'_. �yy�m�aYfS/G/ArYYiI
THE SALES DISCLOSURE FORM h1AY BE USED TO APPLY FOR CERTAIK DmUCT10.�'S FOR
� 1. Will this property be the buyer's primary
residence? Provide complete address of �
residence, including counry:
Address (NUmbrrand Sneet)
3319 WSS� 505out}� Prince�o��� � �i6son
Ciry,SmuLPCode 4,(p,p Counry
� � 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If }•es, pro��de
complete address of residence being vacated,
including county:
Addrm (NUmbrrand5treet)
Ciry. 5[are LP Code Caunry
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3. Nomestead
System
S. \Nind Power Device
6. Hydroelectric Po�ver Device
�I
J?
7. Geothermal Energy Heating/Cooling Device
8. Is this property a residentlal rental property?
9. Would you like to receive ta�c statemenu for this
property via e-mail? (Provide contact information
below. Please see instrucdons for more information.
Not available in al1 countiesJ
� I / I_I � � � -
Under penalties of perjury, t hereby certify tha[ this Sales Disdosure, to the best of my knowledge and belief, is true, corre[t
aod complete as required by law, and is prepared in attordance �vith IC 64.1-5.5, "Real Proper[y Sales Disdosure AcY'. (Nate:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessary if no Homestead Deduction is
being filed.) \ ��
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Signaror<o/Boyer7 �aNreoJBvyer'� 5�°use
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License/ID/Orher Num6e�