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INDIANA SALES DISCLOSURE FORM ® SDF ID: ® Page2
D.PREPARER - - '
LANA C.HARPER CLOSER
Preparer of the Sales Disclosure Form Title
19 NW 4TH STREET STE 500 TOTAL TITLE SERVICES,LLC
Address(Number and Street) Company
EVANSVILLE,IN 47708
E-mail
E.SELLER(S)/GRANTOR(S)
DUANE A BIGGS PAMELA El IZABETH BIGGS
Seller I'Name as appears on conveyance dru I17 en Seller Name as appears on conveyance document
5/2 County a 29 7-S/ h1E
Address(Number and Street) Address(Number and Street)
/1 wc-/pn /r1 S 3gf5/ SR M E.
�d/ s�YAlkveon
E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co .wr- as require. by law ' d is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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�na[ure of Seller - Signature (�
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Printed Name of Seller Sian Date(MM/aa/YYYI) Printed Name of Seller �^ 4M/oo/VYYY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL IT TIAryAPP i
CHRISTOPHER M.WOODRUFF r
'meat ( Buyer 2-Name as appears on conveyance data t
0 e/ 4,/ �// / /t• KO �1 1.4 2016
Nu 6eran $ eet) Address(Number and Street)
oiAtiub /N t/77// t.. -
City,$tatg
E-mail Telephone Number E-mail
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 NO CONDITION
0 ❑ 1.Will this property be the buyer's primary i IN ❑ 3.Homestead
residence? Provide complete address of primary H U 4.Solar Energy Heating/Cooling System
AL, ic.rMence,in c county: ❑ si S.Wind Power Device
�ress(NU treet)! V 1(C 9
giH/,� ❑❑ 0 6.Hydroelectric Power r Device
0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
td 2.Does the buyer have a homestead in Indiana to be ❑ 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)
,1,42 - t 3 -Jo • /01- 000. 1E0 -0 0")-
City State ZIP Code County
Primary property owner contact name Email