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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D. PARER : . - - j
Preparer of the Sales iisclosure Form Title
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Adaress(Number and Street) ' Company
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City,State,and ZIP Code Telephone Number E-mail
E.-.SELLER S GRANTOR Ste` - -
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cellar 1-Nome as appears on conveyance document Seller 2-Name as appears on conveyance document
rid ss(Number and Stre ) Address(Number and Street)
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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".
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Signature of.Seller M Signature of Seller
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Printed Name o;Seller. _ _ Sian Date(HA/DD/flit) Printed Name of Seller Sian Date(MM/DD/mrl
Preston E. Helm Amber N. Helm dy�
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
3301 W Michigan Ave 3301 W Michigan Ave c,C Nei a�D
Address(Number and Street) Address(Number and Street) `�2 p F
Evansville, IN 47712 Evansville,
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT SPybY, •
YES NO CONDITION YES NO CONDITION /TO
•❑ 1. Will this property be the buyer's primary t9% ❑ 3. Homestead
residence? Provide complete address of primary ❑ .Q%q Solar Energy Heating/Cooling System
residence,including county: /
6796 W 450 S ❑ 5. Wind Power Device I
Address(Number and Street) ❑ 1210 6. Hydroelectric Power Device
'Owensville, IN 47665 I Gibson ❑ LQ, 7. Geothermal Energy Heating/Cooling Device
City, State ZIP Code County - ❑ kl 8. Is this property a residential rental property?
h, ❑ 1
2. Does the buyer have a homestead in Indiana to be ❑ 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete ( property via-email? (Provide contact information
2� address of residence being vacated, including county: below Please see instructions for more information.
SJ.3-0 j (/t /� l(,141 qlt� /�Lr� Not available in all counties.)
ddress(Number and Street) J ( nI �J/// /� .{� /'� j �j �j
.Vral�/ vl 110-- (� ' / 1 I ity�NdM /V -X- 2/60-(�`�/ 9,1d -DOI/
City,State ZIP Code County Primary property owner contact name E-mail