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Homestead_Dunn (3)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER - __. .. I. Roman Ricker Attorney Preparer of the Sala Disclosure Form Title P.O. Box 13, 219 N. Hart St. Hall, Partenheimer&Kinkle Address(Number and Street) Company Princeton, IN 47670 812-386-0050 rrickera)hok-law.com City,State.and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) - - Steven W Sears Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1392 Saddle Club Way Address(Number and Street) Address(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 corny -to as required by 1.w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". A_....e. GIJ Sign••re of Seller Signature of Seller Steven W Spars 09/ Zo) /2016 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller 7 MM/DD/YYYY) F.BUYF.R(S)/GRANTEE(S)-L:APPLICATION FOR PROPERTYTAX DEDUCTIONS-IDENTIFY ALL IT S iil) I ( ,. CKent A. Dunn Lyndsi R, Dunn buyer I-name as appears on conveyance document Buyer 2-Name as appears on conveyance document 8526 Edinborough Rd. 8526 Edinborough Rd. OCT 3 2016 Address(Number and Street) Address(Number and Street) Evansville, IN 47725 Ev.n ville IN 4772 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 N 0 ❑ 1.Will this property be the buyer's primary Q ❑ 3. Homestead residence? Provide complete address of primary © 4.Solar Energy Heating/Cooling System residence,including county: ❑ IN 7981 W 500 S 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Owensville, IN 47665 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County 0 ID 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 or more information. 8526 Edinborough Rd. o oval a e in all counties.) Address(Number and Street) Evansville, IN 47725 Vanderburq Kent A.8 Lyndsi R.Dunn dG -/ 7- O 4 - yoo -o a y 7 /3-O ,) City,State ZIP Code Coun Primary property owner contact nanR -mail