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Homestead_Doan
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 iawil Pr1R c .sue; — —-^-1: :--Q --s -� , .°-Aran r _` ' 7: J Kandace Rogers Closer Preparer of the Sales Disclosure Form Tide 3101 N. Green River Road Suite 130 Columbia Title Address(Number and Street) Company Evansville, IN 47715 812-471-8563 kandace(o)columbiatitlegrouo.com City,State.and ZIP Code Telephone Number E-mail .2T SELLETIM..GRANTOR(S)1, 1--.7-_--- -. - ,_-7Y F--i: ,71.7-771:_ -s .7 37 "e:- Robert F Turpin Seller I-Name as appears an conveyance document s appears on conveyance document Seller 2 Name asa 531 5 50 W Address(Number and Street) Address(Number and Street) Pra 'czlYa , i tJ 111 ( 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 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature al Seller Signature of Seller Robert E Turpin 8/4/2017 Printed Name ofSeller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYn'I s primary GniSON COUNTY AUDITOR Ltd [�❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ TA 5.Wind Power Device Address(Number and Street) ❑ E 6.Hydroelectric Power Device ❑ IZI 7.Geothermal Energy Heating/Cooling Device City,State ZIP e County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ IZ 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 Street) 3(0-014— as- 104 - DOD -0104-o2O City,State ZIP Code County Primary property owner contact name E-mail •