Homestead_Adler . INDIANA SALES DISCLOSURE FORM. ' . SDF ID: Page 2
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Karen S.Creek Closing Agent
Preparer of the Sales Disclosure Form Title
501 Main Street.Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville,IN 47708 812-421-4000 closinq.dept @ieffbosse.com
City,State,and VPCode Telephone Number E-mail
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E..SEL[ER(S)%GRANTOR(S) = z i:;_,�_.i..=.'-Ei_,'-C _ .i:s_... - S-1� .��7
Estate of Norwood A Adler
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
i1111 s •ctEo E.
Address(Number and Street) Address(Number and Street)
Qak10
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co m 1 ete as requir b law, 's p e ared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
AL- ree
Signature of Seller 6 Signature of Seller
Steven Adler Personal Renresentative `r/2-/7
Printed Name of Seller Sian Date Dr.N/DWYM1 Printed Name of Seller Sian Date NH/OD/MY)
F-BUYER(S)/GRANTEE(S) AP,PLIGATION!EOR.PROPERVTAXDEDUCTIONS DENTIEVAITITEMStTHAT,ARFLY=L- .::-.':17 Y '
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Steven A.Adler Patricia E.Adler
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
Lo 11as. qSa E . L -1 '7q S ' 9So E '
Add Num a`d\\S t) x @ t t Ad ess(Numbe and Street 0
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
1, ❑ 1.Will this property be the buyer's primary 41 3.Homeste
residence? Provide complete address of primary El 4.Solar E a ng/l�o in tern
es nce t�tcl ❑g county: ❑ ��0+�,//
1 rs 11 c{ Eg415 E' 5.Wind Power Devlc
Ad. .•s(A'u• •r and Street) _ l - C I 1 r t ❑ 6.HydroelectrMor Device
aa .. L. t '. ❑ 7.Geothermal Ener Vgy i—Sk/Cooling Device
City,State ZIP Code County ix] ❑ 8.Is this pr rty.a r sldential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? Ifyes,provide ❑ 9.Vf;�di'lq L.L. e tax statements for this
complete address of residence being vacated, property via e-f{aIIY(kyty/{e. contact information
including county: below.Please see instructiodea more information.
Not available in all counties)
Address(Number and Street) rR O -/5 -cOO a / V y/ M�
City,State ZIP Code County' tiG.J
Primary property owner contact name E-mail