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Homestead_Stolz • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.P,REPARERL -- - - - Allie Alexander Processor Preparer of the Sales Disclosure Form Title 4962 Lincoln Avenue First Advantage Title Address(Number and Street) Company Evansville, IN 47715 (812)490-8485 City,State,and ZIP Code Telephone Number E-mail iE SELLER(S)/GRANTOR(S)r°'" ' - . - - -'' -- _s=I'v` r cn. — ',. •t ti--Z-4- 1-77:77:7:170T . Ashley R Krieg Se erI Name app rson conveyance document • Seller 2-Name as appears on conveyance document 0U rack kDr. ��d r (Number and Street) /' Addres(NumberandStreet) `- kss I- Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c plet as required w,and is prepared in ccordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". ht czi Sign re of Seller Signature of Seller Ashley R Krieg Lll Printed Name of Seller Sian Date(MM/DD/YYY) Printed Name of Seller Sian Dare(MM/DD/IYYY) ":E BUYER(S)/GRANTEE(S)"'APPLICATION FOR PROPERTY TAX•DEDUCTIONS=IDENTIFY AWITEMS THAT_AP.PL Cind L. Stol B ep(Ni eus op r mconveyance dcument - Buyer 2-Name as appears on conveyance document \) d r..s(Number and Street) 0, Address(Number and Street) • - THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLT.CO YES NO CONDITION YES NO CONDITION �Npy d ❑ 1.Will this property be the buyer's primary ya ❑ 3.Homestead '9G residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System '04, Feesldenc ,including county: .iC1 `\ ,1}s a( I \ r ❑ 5.Wind Power Device Adr ss f�,vumb`era st eet) { 'J --w930, yr--� \ ❑ 0 6.Hydroelectric Power Device '^A A ��� ^- 1 `{ 1J.� C 0 7.Geothermal Energy Heating/Cooling Device CRy, tote ZIP Code ) aunty ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property? vacated for this residence? I f yes,provide ❑ 7 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) yn City;State ZIP code County do -an�6-�U/- 7 -a)/ Primary property owner contact name E-mail