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Homestead_Denton (3)
INDIANA SALES DISCLOSURE FORM SDF ID: Page D:.PREPARER':= ' ` a7.° " 'P" JoAnn Jacob Krantz Attorney Preparer of the Sales Disclosure Form Title P.O. Box 779 Fine& Hatfield,A Professional Corporation Address(Number and Street) Company Evansville, Indiana 47705-0779 (812)425-3592 iak(Wfine-hatfield.com City,State,and ZIP Code Telephone Number E- mail E:SELLER(S)/.GfiAN:T0Et(S)i 'Y -- _. _>:C ' 9- t - ~ ' y_- efiii l Jerry Donald Denton Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 4595 Miranda Drive Address(Number and Street) Address(Number and Street) Under penalties of perj ry, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an complete a quirt : ,y la ',and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Sgr lure of r / Signature of Seller ,IP Onnal enton VP /CP Printed Name of Seller Sias D M/ D/m) Printed Name of Seller Sian Date(NN/DD/YYYn FAUYER(S)%GRANTEE(S)'ZAP.P.LIGATION_EOR:PROPERTYTAX,DEDUGTIONS' DEN, iRW Alit°ITEMSTHATAPPLX __5- -, Mary Ann Denton Buyer I-Name as appears on conveyance document Buyer asa u) ppears on conveyance docu P.O. Box 97 Address(Number and Street) Address(Number and Street) Oakland City, Indiana UO1TOR YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary A ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ ri 5.Wind Power Device County Road 775 South(parcel#26-14-79-400-001 617 006) Address(Number and Street) ❑ 2 6.Hydroelectric Power Device Oakland City, Indiana 47660 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2. Does the buyer have a homestead in Indiana to be ❑ 8. [s this property a residential rental property? vacated for this residence? If yes,provide ❑ 2 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 11 counties.) Address(Number and Street) City,State ZIP Code County 1 --/ --,/•W ea—la/ /7` C1 Primary property owner contact name E-mail