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INDIANA SALES DISCLOSURE FORM SDF ID; Page 2
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�O PREPARER :e°emu see, _� `, a n ; .; _�T _ _ _ az .?ti Sr . . im.
Karen S.Creek Closing Agent
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 closinq.dept@ieffbosse.com
City,State,and ZIPCode Telephone Number E-mail
E-'SEI[iER[S)%GRaNTOR(S) --- . `_: :-F-77 ti kr x .;tom ._ n,....zrz:,` Asa 1< -- _ Z,y -` K::._ .. a_.?.r
Cathem J Busenhurg
Seller I--(Name sj ipe°so�nres1 ancedocument . Seller 2-Name as appears on conveyance document
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Address(Number and Street) 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 complete as required by law,and is prepared in accordance with IC 6.1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller Signature of Seller
fiathern.1 Rucenhurg 08/30/2016
Printed Name of Seller Sian Date(MM/DD/MY) Printed Nome of S-.; - Sign Date(MM/DWYYY1)
F?BUYER(S)%GRANTEE(5 ;,--'•APPEIGATION4E012'P.ROP.ERT;Y.rTAX:DEDUCTIONS'IDE f '1 1—(ITEM• T i•T: PPLY= -70 "% irn
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Morgan D.Young
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears an conveyance document
tital S g 5o Ey SEP 2 0 2016
Address(Number and Sweet) Address(Number and Street)
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
Fl ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county:
.ePSC) :S El 0 S.Wind Power Device
ISd c
Address(Number and Street) ❑ fl 6.Hydroelectric Power Device
Oakland City, IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ El 2.Does the buyer have a homestead in Indiana to be ❑ 0 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) 'n /�,� yI'
City,State ZIP Code County
0(0- 00-15-90D-(ti1.7 1 -001
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Primary property owner contact name E-mail