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Homestead_Helsley INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 'D:'PREPARER • Abbey Messel Closer Preparer of the Soles Disclosure Form Tide 3101 N. Green River Road Suite 130 Columbia Title Addrw(Number and Street) Company Evansville. IN 47715 812-471-8563 abbevecolumbiatitleorouo.com City,State,and ZIP Code Telephone Number E-mail E SELEER(S)/G RAN TOR(S)_ _ ::- ::. '_ — ;,, _ __- David L Weyer Debora A Weyer Seller I-Name as appears on cone once document Seller 2-Name as appears on conveyance document 4117 South 800 Fact 4117 South 800 Fact Address(Number and Street) Address(Number and Street) Francisco IN 47649 Francisco IN 47649 Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and mplete as re uired by law,and is prepared in accordance with iC 6-1.1-5.5,"Real Property Sales Disclosure Act". +`t Cf/14 (/V S2.12 ^ Nk e� C , l,l t.L�o� Signature of Seller '/ Signature of Seller U� David I Weyer 4/7/2017 Debora A Weyer 4/7/2017 Printed Name ofSeller Sign DateWM/DO/17M hinted Name ofSeller Sign Date(HH/DD/1'YIY) F:BU:YER(Sf/GRANTEE(S).=;APPLICATION ROR`PROP.ERT.Y;TAXd)EDUCTiONS iDENTIFXALLATEMS=THATAPPLX:. ,.,_ Randal Scott Helslev tHE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OFTHO Y.. YES NO CONDITION YES NO CONDITION Cr) i ❑ ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead O� Ty�� residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling 's i residence,including county: 4' ❑ © 5.Wind Power Device Address(Number and Street) ❑ Ei 6.Hydroelectric Power Device CIry,Smt<ZlP Code County ❑ ❑ 7.Geothermal Energy Heating/Cooling Device 0 is [Z] ❑ 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 ❑ Ei 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. 2011 Glenwood Drive Not available in all counties.) Address(Number and Street) Princeton, IN 47670 Gibson 0%— /9.o CA L/oo- 6o0 - 337 . Od Se- City,State ZIP Code County . Primary property owner contact name E-mail