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Homestead_Morgan (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.-PREPARER- ` Lynette Murray Processor Preparer of the Sales Disclosure Form Title 4962 Lincoln Ave First Advantage Title Address(Number and Street) Company Evansville,IN 47715 812-490-8485 theteamefirstadvantagetitle.com City,State,and ZIP Code Telephone Number E-mail E. ff9i,'NTOR S a _ A. i sari-Name s appal I veyance d mment Seller 2-Nome as appears on conveyance document (0 17 C-,0 I I 1 n ci-r 4 ()U ess(Number and Street) 1 Address(Number and Street) Und n s f I ury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an co r t r a rjt el.: law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".fiectiihd- • natur a(Se ler Signature of Seller Jcnc e. U biz v q P.1 1I _..._ _ • Printed Name of iler I Sion Date(MM/DD/YYYYI Printed Name of Seller Sian Date(MM/DO/YYYY) 4BUYER 5 ' GRANTEE S —APPLICATION.FORPROPERTYTAXDEI)U T INS DENTIFYAL ITEMS HAT APPLY i . B•v 'lame v appears•n onveyance 'cument ryer Name as ap on convrym¢e document tr. 4s(Number and Street) bnerr\anreet; THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALI.OF 11,•S T;,%T)PP Yt !,,` YES NO CONDITION YES NO CONDITION ❑ Z 1.Will this property be the buyer's primary lki--- ❑ 3.Homestead MAY 0 4 2016 residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Coolie System 130 r Ncl d+'nQCOUnty �n � 1_-1` �I� ❑ S.Wind Power r Yurnberand•Street) "'III III 1 ❑ 0 6. Hydroe�SOtetC INTMAUDITOR — c -c- 11..e `Oi4 LI11c35 VAni) ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2. Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ I71 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) aco— lq - 3s- yba- Oba - logy - 001 4 City,State ZIP Code County - Primary property owner contact name E-mail