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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Jeff Bosse Closing Agent
Preparer of the Sales Disclosure Form Tide
501 Main St. Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville,IN 47708 812-421-4000
City,State,and ZIP Code Telephone Number E-mail
18.'SETZER(S)/GRANTORtS)L7CS-17:227271."1—._:'cra71,77.71).Y.77.,".7-71 ---.-T-7.-71- -77:7:2-----77r' FT---77:7- .zy,--,,_
Joshua P Higgins MelissaWillingecalcaldeliains_
Seller I-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
3003 W 1050 5
dr--Addpas. (Number and Street) : Address(Number and Street)
14AUb 5 f a At—
Under.penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an mplete a equir b ,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Michael J. Eck Tricia Eck
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
265 Eck Lane 265 Eck Lane
Address(Number and Street) Address(Number and Street)
Cobden. IL 62920
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT In 0 2017
YES NO CONDITION YES NO CONDITION
12 0 1.Will this property be the buyer's primary Fl 0 3.Homestead
residence? Provide complete address of primary El 12 4.Solar Energy Heati
411534CN COUNTY AUDITOR
residence,including county:
0 Fl 5.Wind PowercavW
Address(Number and Street) 0 12 6.Hydroelectric Power Device
0 1%1 7.Geothermal Energy Heating/Cooling Device
\ City,State ZIP Code County
Ej 12 B.is this property a residential rental property?
E 5 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 51 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.
511- i-3. STA 1 lidl GR Not available in all counties.)
Addrtics(Number and Street)k i
PMMI-nay 1/.3_ vn L 2i f caT) - aa-o - 2no-caa. 101-09-1
City,State ZIPtode County
Primary property owner contact name E-mail