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Homestead_Edwards (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Becky King Closing Services Preparer of the Sales Disclosure Form Title 7820 Eagle Crest Blvd., Ste 201 Regional Title Services Address(Number and Street) Company Evansville, IN 47715 812-759-5555 beckv.kinqeregionaltitlellc.com Ciry,State and ZIP Code Telephone Number E-mail .. - r' __..- E:SEC'L'ER(S)/,GRANTOR(S)L_______–,_.– ---�,--- _ �_._ Timothy J Tichenor Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 6452 S SR 65 Address(Number and Street) Address(Number and Street) Owensville IN 47665 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and cam to as j •Ire land ' prepared in accordance with IC 6.1.1-5.5,"Real Property Sales Disclosure Act". Signature of Seller Signature of Seller Timothy J.Tichenor 04 Is on Printed Name of Seller Sign Dal (MM/DD Printed Name of Seller Sign Date(MM/DD/YYYY) F:.BUYER(5)S/,GRi1NTEE(S)CAPRI:ICATIONiFOR P,ROP.EaremtAX«I)EDUC-Tiely—II)ENT,IFgALrL"ITEMS_THATlAP.PI:Y(_ __ _ �_ Taylor A. Edwards Jessica L. Edwards _ Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on con ce(�., ,®ent 2825 Pinell Court same Address(Number and Street) Address(Number and Street) Evansville, IN 47725 APR 1 0 2017 - - THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY AIstes y --•.Y• 1' AUDITOR YES NO CONDITION I YES NO CONDITION TA ❑ 1.Will this property be the buyer's primary 12 ❑ 3.Homestead residence? Provide complete address of primary ❑ 151 4.Solar Energy Heating/Cooling System residence,including county: n 6452 S.SR 65 5.Wind Power Device Address(Number and Street) ❑ TA 6.Hydroelectric Power Device Owensville, IN 47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIPCode County TA ❑ 2.Does the buyer have a homestead in Indiana to be n 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. 2825 Pine!!Court Not available in all counties.) Address(Number and Street) Q Evansville, IN 47725 Vanderburqh 3674/)---1 a 1/00 1/00 -col1, 2gaco Ciry,State ZIP Code County Primary property owner contact name E-mail