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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:P REM RER' tJt,_ Y41,•,-7,-,,': tr__._ __ c` t AY.,.s2 r =i r'_°:� » 7'"'. , ti7 ;._ ,x.
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LANA C.HARPER CLOSER
Preparer of the Sales Disclosure Form Title
19 NW 4TH STREET STE 500 TOTAL TITLE SERVICES,LLC
Address(Number and Street) Company
EVANSVILLE, IN 47708 812-468-8485
City.State,and ZIP Code Telephone Number E-mail
'E.SEL:LER(S)/GRANTOR(S)r'_ :? . T- >`.a.z: _. t_t: +, -:'"t =1,vt.,�:y,t , s.... FN.:7 z r.ifffP, ,:;i ,a i._'Fa',.. 3;. i
Kathy A Paul Revocable I iving Trust dated 12-15-15
Ipr .Namm`yUeee,assn appears a conveyancedoume5nt Seller 2-Name as appears on conveyance document
Address Number dnd Street` O�{ I " Address(Number and Street)
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Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comple[ re uired by/ aw,and Is repare n accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Si N ofSellerA_ ,Signature of Seller
1140-fat/ . u.f i1"-5-1(4
Printed Name y Seller Sian Date(MM/DD/nfl') Printed Name of Seller Sian Date(MM/DD/VYVY)
F;BUYER(S)/GRANTEE(S)'€APPLIGATIONIFOR PROPERTY TAX,DEDUCTIONS='IDENTIFY ALL ITEMSTHATAP) -L __'
Shawn P.Young Stephanie L.Young
re,. .Nam appcnrs Qn co7a? t(ocumc Buia2 Name as appears on conveyance document
a�j[�� U J Ste/
ddress(Number and Sifter] Address Num- 1
OUJ81
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION 00/1.
0 ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead %
residence? Provide complete address of primary ❑ 4 4.Solar Energy Heating/Cooling System
residence including county:
(0 38c I.l . H75 5 ❑ Power 5.Wind Power Device
A dress(Numberand Street) // ❑ 0 6.Hydroelectric Power Device
lencu(flt 1til ( 7b2c v/bson ❑ 0 7.Geothermal Energy Heating/Cooling Device
it tate ZIP Code County
❑ 2.Does the buyer have a homestead in Indiana to be
❑ ID 8.1s this property a residential rental property?
vacated for this residence? If yes,provide ❑ IS 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
inclucin$count} below.Please see instructions for more information.
50( ,S, 1 11c, $t Not available in all counties.)
A (N' and Street) 1 I
For rG(Id-. L(? L(7c43 C t boon oil/gtz/oo- oOf(331 04/
City.State ZIP Code I County
Primary property owner contact name E-mail