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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Kim Loesch Processor
Preparer of the Sales Disclosure Form Title
2301 N Burkhardt Rd First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715 (812)490-8485
City,State,and ZIP Code Telephone Number E-mail
Janet A Krieg
Seller 1'Name as appears on conveyance document,..... Seller 2-Name as appears an conveyance document
l 01 0. 5 r d t. ,
Address(Number and Street) Address(Number and Street)
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Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required my law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
ft s. A S 6-
. A IL - A • ...........t
Signs;i e of Seller
II Signature of Seller
Janet A Krieg
Printed Name of Seller Sian Date vust/DD/rMi Printed Nome of Seller Sian Date(.t04/00/YYYY)
'R.BUY,ERISIXGRANTIEE(S);aAPeLICATIONEOR:PXOPTERTYJAkDEDUCT.IONS.z.",IDEHTIFY.3511,ftli. EMS;WHATTAPPLAC, .:".7.C77-:', 7-'7-(e."71 t;
Robert J Hamilton II
Buyer I-Name as appearre.monveyance;locomen( ..... i Buyer 2-Name as appears on conveyance document
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Addreerend 5w:el Address('lumber and Street) .
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. CO
YES <
.'0 CONDITION I YES
ve NO CONDITION
,.
11) 1.Will this property be the buyer's primary
I 0 3. Homestead ty
lo,
cil)..
'(:)/
residence? Provide complete address of primary 0 12 4.Solar Energy Heating/Cooling System
_ r filar aylenc inch, ing coupty,t
/0,5
, c. 1 - 9 IN S.Wind Power Device
Address(N. „.S”-and Stree()
I-r --gt.)
,frot' 9 [7] 6. Hydroelectric Power Device
0 E 7. Geothermal Energy Heating/Cooling Device
Ci anccsco/ty,State ZIP Code County
9 s 8. Is this property a residential rental property?
9 9 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide 9 tz 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)
a t-A5 V9 clad- 04 c,./1/4 ,5-00.5—
City,State ZIPCode County
Prima°,property owner contact name E-mail