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Homestead_Evans (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 :D'):PRERARER', :..s Ri r.:. .F#.:.'_. 5 .z - Allie Alexander Processor Preporer of the Soles Disclosure Form Title 2301 N. Burkhardt Road First Advantage Title Address(Number and Street) Company Evansville. IN 47715 (812)490-8485 City,State,and ZIP Code Telephone Number E-mail iE=SELL•ER[S)%GRAh!TOR S r '. - L .` - 1 r d° 7C __._ .. John C Stevens a/k/a John Clifford Stevens Jeanne M Stevens a/k/a Jeanne Marie Stevens r X l;Name as ppea conveyance document Seller 2-Name as appears a nveyance document J 3 1p .ti f y....)0 oc1n kyu ,S r5S 3C.p ti v y I. -,J, ;\ AddrP;t(Number and Street) ` �� �� Address(Number and Street) /11 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and col lei: as rree�quire b 'law,and is prepared in accordance witl r 6-1.1-5.5,"Real Property Sales Disclosure Act". d\ i/ /rte r • -Si. : . Al• /I !L{d,LA-010 Si ,re of Seller \rare ofSelle `��{ John C Stevens `a- 1' - I i I .__ -- `)4 ) J} Printed Name of Seller Sian hate(.MM/DD/I1111 Prin! ler J Sian Date(MM/DD/1141) .__ B - I_-- \ • IS;THATAPPLY 'P>BUYF;R GRANTEE(Sj..,APP.t:ICATIONjFOR:PROPERT;YrTAXDEnUCTII j'1 T Eli L �� , ,___: _ .i�___ Jeffrey Evans Buyer l-Name as op rs on conveyance document Buyer 2-NajWf afls&t1 eyance do m/do`I, ' 5ess(Number an eet) Address(Nal ber and Str-et) /'low,�EQ , ( � 0�t (Y C j-' q)-L6)-0 I,f, .-.i r'; ��, da froe cc._FOR7.. THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSETfAT APPLY. \ YES NO CONDITION p p ty buyer's primary YES [ ❑ 3. Homestead ` c�3p caudt 1.Will this property be the bu er's rims residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling Syste L 30 ` res(�e cy,i eluding C arty: f ❑ I �A I y S.Wind Power Device Adore�s(Number and Street)C�• (�(�� � y{���/ ❑ IA 6.Hydroelectric Power Device s 11 t 1- ` `N_ �1 �1 ' t 0 City, ZIP ` u17\�"� ❑ ❑ 7.Geothermal Energy Heating/Cooling Device ID 2.Does the buyer have a homestead in Indiana to he ❑ B. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 0 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: be/ow.Please see instructions for more information. Not available in all counties.) Address(Number and Street) !!'' q •� �/ City,State ZIP Code County Z 4 _ I a -o 3 - ,Q vO Co 1 FG 5 O a ` Primary property owner contact name Email