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INDIANA SALES DISCLOSURE FORM SDF ID: 2016 Page 2
D. PREPARER
Kathy Masterson Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812)425-0055 Kathy @svrinland.com
City State,and ZIP_Code .. Telephone Number E-mail
E.5 L-L"ER(S)/GRANTOR(S)
Stephen L.Taylor Linda J.Taylor
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1732 E Warrenton Rd 1732 E Warrenton Rd
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 Haubstadt, IN 47639
Under penalties of perjury, I he y certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct
and corn. -c "s requi la and is prepared in accordance with IC 6.1 1- 5, "Real Property Sales Disclosure Act".
LSignature ofSellei"- c_•Signature:of.SellerL
Stephen L.Taylor 4/19/2016 Linda J.Taylor 4/19/2016
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F_BUYER(S)/GRANTEE(SFARPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY" IDENTIFY ALL OF THOSE THAT APPLY.
YES NO NO CONDITION YES NO CONDITION
L� ❑ 1. Will this property be the buyer's primary ❑ 3. Homestead
t residence? Provide complete address of primary El 4. Solar Energy Heating/Cooling System
residence,including county:
❑ 0 5. Wind Power Device
1732 E Warrenton Rd.
Address(Number and Street) ❑ El 6. Hydroelectric Power Device
Haubstadt, IN 47639 I Gibson
❑ El 7. Geothermal Energy Heating/Cooling Device
City, S ate ZIP Code County ❑ El 8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be ❑ El 9. Would you like to receive tax statements for this
vacated for this residence? If yes,provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) a6 -a 3-lb- 30o -co L- oas-oa ({
City,State ZIP Code County Primary property owner contact name E-mail