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Homestead_McKee (6) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 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.deotf@ieffbosse.com ieffbosse.com City,State,and ZIP Code Telephone Number E-mail John P McEllhiney Georgia McFllhiney Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance d ument 1-S1.3_14LEsssX-Place 18:13—W. Essex ti ate e4dre?(Number and StieeO dr'es's(Number and Street) ? Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as requi ed by law,and is prep (It accordance w'L IC 6-1.1-5.5,"Real •roperty Sales Disclosure Act". 1 / f C ta,Lu. a _ LA_,/L—J Signature of Seller_,— (Signature of Hers I /y 1 '7-10- /Go John P McEofSe / - ///( 2/71 L—(M�— lto Georgia tdName of Seller Printed Nameof5e er Sian Dale(MFf/DD/YYY!)� Printed Name of5eller Sian Date(MM/DDM'Y1'1 7F:BUYER(S)/G NTEE(S)_=rAPPLICA FORPROPERTYTAX-DEDUCTIONS:'IDENTIFYALL ITEMS THATAPPLY ="?`—�„ J Matthew McKee LED Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance dace): m 309 W Brumfiled Apt R Address(Number and Street) Address(Number and Street) JUL 2016 Princeton, IN 47670 OR THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. COON I Y AUDI FOR YES NO CONDITION YES NO CONDITION ❑ 1.Will this property be the buyer's primary d ❑ 3.Homestead residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System residence,including county: ❑ S.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device City,S[ateZ code County ❑ 0 7.Geothermal Energy Heating/Cooling Device ❑ g 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 ❑ 0 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) City,State ZIP Code County IA IQ -0B-3o\ -00Q. 003W- Primary property owner contact name E-mail