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INDIANA SALES DISCLOSURE FORM SDF ID: 2017 Page 2
D. PREPARER
Kathy Masterson Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812)425-0055 Kathy @swinland.com
City, State,and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Charles Eugene Heckel Billie Sue Heckel
Seller 1 -Name as appears on conveyance document Seller 2-Name as appears on conveyance document
4341 E 1300 S 4341 E 1300 S
Address(Number and Street) Address(Number and Street)
Evansville, IN 47725 Evansville, IN 47725
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 p kattliv IICC 6-1.1-5.5, "Real Property Sales p
Disclosure Act".
7
Signature of Seller '"� r\ Signature of Seller ,(�
Charles Eugene Heckel U (A O.) 7 Billie Sue Heckel (\ )) ) Q70/ 7
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller In Date(MMVDD/Y Y)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITEMS TI PLY
Y
Hunter L. Schott Jennifer A. Schott
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docu
5445 W Warrenton Rd 5445 W Warrenton Rd di
A
........
ddress(Number and Street) Address(Number and Street) c 2
Evansville, IN 47725 Evansville, IN 47725
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TC9VPPLY.
YES, NO CONDITION YES NO CONDITION OR
-161 El 1. Will this property be the buyer's primary / ❑ 3. Homestead
residence? Provide complete address of primary ❑ 4. Solar Energy Heating/Cooling System including county:
4341 E 1300 S ❑ 5. Wind Power Device
Address(Number and Street) ❑ '3 6. Hydroelectric Power Device
Evansville, IN 47725 I Gibson' ❑ to 7. Geothermal Energy Heating/Cooling Device
6 CounState ZIP Code
ty ❑ 8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be ❑ g. Would you like to receive tax statements for this
vacated for this residence? If yes,provide complete property via-email? (Provide contact information
address of{esid?nce being vacated„inc ing county: below. Please see instructions for more information.
�'�`"S )/V I/1/ f�'IUI��N f U IN I Not available in all counties.)
Address(Number and Street)
LAMNS -\-A\JU I rti4')- \ LATLO 2 4, -a 3-19. 1100 66b' '9-3 / aa�
City State ZIP Code County Primary property owner contact name E-mail
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