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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
rDPREPARERV,a', _.-! _ --7 -y - rs. --:
Karen S.Creek Closing Agent
Preparer of the Sales Disclosure Form Title
501 Main St.Suite 101 Bosse Title company
Address(Number and Street) Company
Evansville, IN 47708 812-421-40000
City,State,and ZIP Code Telephone Number E-mail
eE:SELEER(SVGRANTOR(5)L2Zi— __s = z-75-4 s` ; ,
Jennifer I ynn Schroeder Glenn David Smith
Seller 1-Name as appears on conveyance 124 document Seller 2-Name as appears on conveyance document
( -—0 a /)/. S tide /24 7&- fist .J-
Address(Number and Street) i• Address(Number and Str )
\
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and omplete as required by law,and is prepared in accordance w h 6-1.1- l�eal ro rty Sales Disclosure Act".
e% rf /-
gnatare of Se/ Signature of Seller
Jennifer I ynn Schroeder -44/110 016 Glenn David Smith 11/11/2016
Printed Name of Seller Siali Do/e(yM/Der) Printed Name of Seller Sian Date(MM/oo/YYn7
f:BUYER(S)/GRANTEE(S)`_APPLL TI N, OR`PROPERT;YLTAX'DEDUCTIONS<IDENTIFY ALL ITEMSITHATAPP,LYj =_
Philip Rodgers q Kathy Rodgers
Buyer I Name as appears an conveyance document DEC 1 2016 Buyer 2-Name as appears on conveyance document
3580 E.St Rt 68 3580 E.St Rt 68
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDE TIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION NO CONDITION
pEl (q-�1.Will this property be the buyer's primary IICIr ❑ 3.Homeste I ED
Li residence? Provide complete address of primary l K.L 4.Solar Energy Heating/Cooling System
residence,including county:
❑ 5.Wind Power BEtice 1 2016
Address(Number and Street) ❑ 6.Hydroelectric Power Device
❑ 7.Geothermal -r. d-%-:n4 ooling Device
City,Sta�Z/PCade County •: • in l Ire
❑ 8.Isthi •tip .+e operty?
2.Does the buyer have a homestead in Indiana to be a�� eau �URr
vacated for this residence? If yes,provide ❑ 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)
c�(10'I 94-30'1000.7018-d aL
City,State ZIP Code County
Primary property owner contact name E-mail