Homestead_Stout INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Sherri S Hudson Closing Manager
Preparer of the Sales Disclosure Form Title
501 Main Street,Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville, IN 47708 812-421-4000 closing.dept@ieftbosse.com
City,State,and ZIP Code Telephone Number E-mail
ABSELLERCSIOANTOR(S)s.r.fiti"._7i s :- 11.: : .-i.■- ,...,.::L.±_'T.Z.,::‘.L. 1 •-.::-;.1:C jr 1'',- '-' .2 ..::: 1 1,: ': : r'':7flij la .1-77:7
Ronald J Grimes Dorothy N Grimes
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
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Address(Number,and,Street) Address(Number and Street)
in■ t-F-7 ie 39 1-6As1154:4--1/4" -In 4 7 te 39
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
c ep
and lete as equired y law,and is prepared in accordance with IC 6-1.1-5.5,"Real Pro Sales Disclosure Act".
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Signature of Seller Signature of Seller
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Ronald J Grimes Dorothy N Grimes
Printed Name of Seller Sign Date(MM/DWYVYY) Printed Name of Seller Sian Date Ittl4/DDMTTI
1.F..43UY ERISV:GreANTEE(SrlirMilli.11CATIONIF,0 FeRROPERTY;TAXDEDIJETIONSE;IDENTIFYALLITEMS‘THAVAPPhY,, ,,LZT:
Matthew Scott Stout Erika Mae Stout
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears an conveyance document
107 S Sorinn Street,Apt 4C 107 S Spring Street,Apt 4C
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670 Princeton, IN 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
El... 0 1.Will this property be the buyer's primary [ j p 3.
residence? Provide complete address of primary Li NI 4.Solar Ener einif3.F,s t.
residence,including county: •
0 Fl S.Wind Pow e e
Address(Number and Street) 1:1 SI 6.Hydroelectric Pojyriti Divicc2n 16
0 1511 7.Geothermal EnereleatingiCooling Device
sident'al r operty?
City,State ZIP Code County
N
0 RI 2.Does the buyer have a homestead in Indiana to be Li 8.1s this property
vacated for this residence? If yes,provide 111 p 9.Would you like 9 & 4M9etements for this
complete address of residence being vacated, property41P§-911iP9OgXeMPATIVformation
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
c96.3/412—A'— 304-002. 13()Oa 0
City,State ZIP Code County
Primary propertyawner contact name E-mail