Homestead_Cunningham (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Preparer of the Sates Disclosure Farm Tide
501 Main Street,Suite 101 Bosse Title Company
Address(Number cod Street) Company .
Evansville. IN 47708 812-421-4000
Cry.State,and LP Code
Telephone Number &ma/l
lEISELLER(S)/GRANTOR(S)^,_ e Z•_ '_---, :- - v -•
FM W Rowe Jr
Seller I Name as appears on conveyance document Seller 2-Name as a '
BG`/ /O ppears an conveyan[e document
...Addren SP(Ny(^be<K/ eat) \/ t/ Address(Number and Street)
�
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my know)- I ge - d belief,is true,correct
and cam r u law,and is prepared in accordance with IC 6.1.1-5.5,"Real Pr, a erty Sa -s Disclosure Act'.
Signature of Ire 4 5lgnaturc of Seller
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•- Printed Name of Sere `Sign Date l w/D /rrn') Printed Name of Seller / Sign Date le M/DD/YYIY)
IF)BUYER(S)%GRANTEE(S1�°APPLICATIONFORIPROPER i eTAXDEDUCTIONS IDENTl :AI:LI'ITEMS:THATAPPLY=" C TaT.; ;
Heather A.Rowe 111
Buyer I•Nome as appears on conveyance document Buyer 2•Name as appears an conveyance It
304 W Park Street 1_,F,Address(Number and Street) Address(Number and Street)
Ft Branch.IN 47648
TIIE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TIIIS PROPERTY. IDENTIFY ALL OF THOSE THAT
YES NO CONDrnON YES NO CONDITION GIBSON r.ni%ITV AI inITMR
Ul ED 1.Will this property be the buyer's primary n ❑ 3.Homestead
residence? Provide complete address of primary 0 4.Solar Energy Heating/Cooling System
residence,including county:
301-4 W. Park 34-. ❑ 5.Wind Power Device
Address(Number ar4Street) ❑ 6. Hydroelectric Power Device
c-+ 5rnnctk �i 141(p 48 Ct t bSOn ❑ 7.Geothermal Energy Heating/Cooling Device
City,State LP Code County
❑ [2f 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential renal property?
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)
Addnss(Number mid Street)
ay,State ZIP Code County 090- 1Y-13 -101-1)01. 133-0,210
Primary pmperiy owner contact name E-mail