Homestead_Kemp INDIANA SALES DISCLOSURE FORM SDF ID: Page 2•D: P.CEEA'RgR• ` ,i; ,. ;t>;; :,e•--- • .
'Lynette Murray Processor
Prepsrer of the Sales Disclosure Form Title
4962 Lincoln Ave First Advantage Title
Address(Number and Street) Company
Evansville,IN 47715 812-490-8485 theteam(Wfirstadvantagetitle.com
City,State,and ZIP Code Telephone Number E-mail
7E ELLER(SYfGRANTORfSir -Oaii ; r;tiX ,__. ". tizi tttixilaWanek +t :1- itl:t= i . ',: t,
Donna I ynch Sandra Kay Helm
Seller I-Name as appears on conveyance document Seller 2-Nome as appears on conveyance do nt
/Soon softies S e� &3ao Old (- S Nwl7Sy
Addr urpberandStreet) Add ress s,�umber S reef)
r• ,-.ce.1or, - J We" 70 //e& 'i(oo , (110 (75-0(a-3
Under enalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and plete as required by aw,a-n/�Is repared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
T �2%�<J ,
/1-i J * �R IA
Signature of Seller U Signature of Seller
Donna Lynch _ Sandra Kay Helm
Printed Name a(Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYYYI
isamixER(S GRi1'IYT(EEU'&RPPL CATION RjP,ROPER•1WaT•A•X{DERUCTIONS IDENfIllgey�ALL I alS1SyTjH 9a,,LYrst F3,c'- i ., ri
Michael W Kemp
Buyer i Name asoppears Of onve'once document) Buyer 2-Name os appears on conveyance document
Address7mberar Stree/(_t.(��(/t/,��(/� yICJ//�' Address(Number and Street)
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APIOJ{.
YES 0 CONDITION }'ES CONDITION tiTy�j��
�❑ 1.Will this property be the buyer's primary 3. Homestead 9G4
residence? Provide complete address of primary ❑ 4 4. Solar Energy Heating/Cooling Sysr4D
r UA r e in ding county
(PCS CS-Hi ❑ is S.Wind Power Device•
Addr p umberand5,treet) //^� �/ ❑ Q 6. Hydroelectric Power Device
ra�f'S�r N Y /& ` ? ❑ El 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ M 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) q ^M n M
City,State ZIP Code Covny do-/3/9-05001 - 00a /X-co
Primary property owner contact name E-mail