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Homestead_Blackard (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 .P- -r *- D:PREPARE&.�. ` . - _- - - - --_tea..._� _" �._.� - �-.�.�._ � - . _.�. 1_.-_.�,—_...._..�."� Abbey Moore Closer Prepares of the Sales Disclosure Form Title 3101 N. Green River Road Suite 130 Columbia Title Address(Number and Street) Company Evansville. IN 47715 812-471-8563 abbey(ecolumbiatitlegrouo.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) _.-- - - 7—'77.--- --•.-.- ---.-.• Estate of Dolly Dewig by Judy Byers Personal Representative Ay� _��-� SellerI N�mensR ae%gvconveyaixtdrimit1 Seller 2-Name as a rs on cony O\` 'h�/t /l'{I/`t (Mt_ V- (...- ppeo conveyance document Add:�(Y um5j3d5o ) . Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct a : complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Sir ture of Sf-r if Signature of Seller r-StRte of Dolly Dewig by.Indy Ryers Personal R 1 2 it - Printed Name ofSeller Sion Date(.io,/ao/YYnl Printed Name or Seller Sian Date rN.N/DD/YYm F.-BOYER(S)%GRANTEE(S)-,.APP-IGAT10N-FOR{-ROPERTY-TAXDEDUCTIONS='IDENTIFY ALL ITEMS-THAT.,APPLY .t-" ' ____s- Cody L Blackard Laura L Blackard Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docume 305 West State Road 68 305 West State Road 68 ��QQQ�� Address(Number and Street) Address(Number and Street) � / THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THA%%XP" 1 YES NO CONDITION I YES NO CONDITION •efNTr"air 0 ❑ 1.Will this property be the buyer's primary U7 ❑ 3.Homestead Alt',yr 0 residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System • residence,including county: ❑ igi 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device atysmtezlPepde County 111 E 7.Geothermal Energy Heating/Cooling Device Z ❑ 2.Does the buyer have a homestead in Indiana to be El B.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 1 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. 8309 Hazel Court Not available in all counties.) Address(Number and Street) Evansville. IN 47725 Vanderburoh c '-/ - off- 030i_ C2 Ct/2- i9 City,State LP Code County Primary property owner contact name E-mail