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Home My WebLink AboutHomestead_Schaefer INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 R.Jeff Dodson Closing Agent Preparer of the Sales Disclosure Form Title 1911 Lincoln Ave Clear Title Company Address(Number and Street) Company Evansville, IN 47714 812-423-8854 City,State,and ZIP Code Telephone Number E-mail CE:SELCER(S)%GRAN;T.OR(S)F - .¢ . . C_ _ ____ _ 77.r ;77 .; __ 'Tr: Dorothy Jean Srraner by POA Keith A Scraper by POA Seller I'Name as a pears on conveyance document Seller 2-Name as appears on conveyance document .Z7a1 717a0kc& G Ai - ;/ -/4 ( 2J221}Li)2) Address(Number and Str Address(Number and Street) il.,n/ 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 by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". e9mYIt/ 114�'/14�JQk. ` hl�iC ,�ilirlD/ . /_ •� t 1 i.//[ i'_, t, I-ii. /Il Signature o/Sel r ) (gnature of Seller 11 S. •] I rigs . . Y. ••• J 11.%'6 ./ L , / •,• • 1i1 A _ . , , . r 1i A . ,LIi pal if IF Printed ame of Seller _/,.? -/ Sian Date(NM/DD/Yr Printed Name of Seller C -/ mn Date IMM/DD ,;Ft:BUYER(5)'/.GRA\THEE(S) APPLICATIONiF,ORnP,ROPERT,YiTAX DEDUC-T[ONS �IDENTIFY ALLIITEMScTHATrAP.P.L +"' ' ` Ashley Schaefer Buyer I'Name as appears on conveyance document Buyer 2-Name as appears on canveyance d ment 736 E State Rd Address(Number and Street) Address(Number and Street) IyT / �1JD THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE T ,:4 PPLY. /, YES NO CONDITION I YES NO CONDITION G1gS0,: ��'.'7t? -• 0 ❑ 1.Will this property be the buyer's primary ❑ ❑ 3.Homestead Ty residence? Provide complete address of primary 0 © 4.Solar Energy Heating/Cooling System' residence,including county: ❑ 736E State Rd 5.Wind Power Device Address(Number and Street) ❑ 171 6.Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ Q 2.Does the buyer have a homestead in Indiana to be El 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ Z 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) �S _Q� 53Q O a g .GAO—la OSO 0o Q. of (� City,State ZIP Code County Primary property owner contact name E-mail II.l_ S c iticci cc CDn-L.JtUan-CC a.f SC//1r PaC)c"