Homestead_Cowan (2) DIANA SALES DISCLOSURE FORM SDF IA Page 2
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Laura Winger Closing Coordinatoy _
Preparer of the Sales Disclosure Form ntis - •
7820 Eagle Crest Blvd S 9 201 Regional Title Services,LL({
Addrev(Number and Street) Company - -
Evansvillel lfl 4(715
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Nicky G.W illiams Michelle R Williams Seller I-Name as appears on conveyance document Seller 2-Name as appears conveyance document
714 Mania Nutt Plana 7140 Maple BIHf(Place
Address(Number and Streit) Address(Number and Street)
tcidianapoflsjN 46230 i 1 -1-.,ells tN 46236
Telephone Number E-mall el hone Number E-mall
nder penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
nd comp etc as r•quired Sy •w,and I prepired to accordance th t6-1.1- .5,"R-. Property . - i isclosure Act".
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5(gnatureo/Seger .9 elan R. { /lid/I&
Icky G Williams /-�3 7‘ Michelle R William,
Printed NameDSeller. Sign DatejM/D Printed Name of Seger n Date(NL/DD/YY]
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Jeremy D. Gowan Tebitha L.Cowan
Buys 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
311 S Gibson St. 311 S Gibsop St.
Address(Number ana Street) . - Address(Number and Street) F I A L1
Princeton. IN X670 - -- Princeton. Id 47670 (AL
City,State.and ZIP Code City,State,and ZIP Code •
$
E-mall
IE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
ES NO CONDITION YES NO CONDITION 1 t,, ..,,An ;
J ❑ L Will this property bethebuyer's primary 1l ❑ 3.Homestead GIBSON COUNTY AUDITOR
residence? Provide complete address of primary ❑ isi 4.Solar Energy Heating/Cooling System
*ocIdance,including county:
2.1) S- 3c-v,lrJekfLY Sr ❑ IN 5.Wind Power Device
Athirst plumber and Street) ❑ 51 6.Hydroelectric Power Device
i?.....Lcc;-,J I tJ '-( %1 0 -W-1!),,-9-.41
Qty,Sta�te ZlP e t County ❑ 7.Geothermal Energy Heating/Cooling Device
Lid 2.Does the buyer have a homestead in Indiana to be ❑ NI 8, Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 12 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)
Addren(Number and Street) a(9-1a _Q9-t/OI _000. i2( oa
ot/
City,State ZIP Code County VO
Primary