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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
tipikRREPARERacanTS-Teat-aMeicilteOilitaaatiFSSatti-Warila74:72,1m-4-Wai'gitga
Laura Rinincer Closing Coordinator
Preparer of the Sales Disclosure Form 7711e
7820 Eagle Crest Blvd. Reaional Title Services, LLC
Address(Number and Saver) Company
Evansville.IN 47715 812-759-5555
City,State,and ZIP Code Telephone Number E-mail
ciE55 E ii LE kV G RANT°RES Wirar_tiEggiSt3EggaiRlegiff Mig4-T4giacig:gchrtgra.,.4.7g1:747.1igatitiggiti.174
Evansville Teachers Federal Credit Union
Seller I-Name as appwrs on conveyance document Seller 2-Name as a paean on conveyance document
4401 Theater 0 r - -
Address(Number and Street) Address(Number and Street)
Evansville IN 47715
a
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowled an btf,5.-/ ect
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
JUL 1 2 2017
Signature of Seller Signature of Seller
Primed Name of Seller Sign Date 041f/DDAMon Printed Name of Seller DVgWi—ikr—Ul 17 FNT wetzamYn
&FIBUYERCST/GRANTEE(SMARIThIC..-ATIONTORPROPERTWAVDEDITCTIONIDENTIRWAIWKF,APPAR=igine ,1 - (nib 127-tilg
oo...p .iLtrfut transter
Paul K.Johnson Anita K.Johnson - day of
Ayer I-Name as appears on conveyance document Buyer 2-Name as appan on conveyance documer------
329 S 5th Ave.3 329 S 5th Ave.3 )49E[at_____—
Address(Number and Saba) Address(Number and Street) Auditor
Princeton, IN 47670
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
Eil 0 1.Will this property be the buyer's primary El 0 3.Homestead
residence? Provide complete address of primary 0 NI 4.Solar Energy Heating/Cooling System
residence,including county:
0 NI S.Wind Power Device
910 F Broadway St
Address(Number and Sant) 0 El 6.Hydroelectric Power Device
Princeton IN 47670 Gibson D El 7.Geothermal Energy Heating/Cooling Device
City,State ?Code County
El 2.Does the buyer have a homestead in Indiana to be
State
U TA 8.Is this property a residential rental property?
vacated for this residence? If yes,provide 0 El 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 Smeet)
t9G Q o$- 103-001. 39a-00)2
City,State ZIP Code County
Primary property owner contac name E-mail