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Homestead_Stodghill (2)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 11 PREPARERt ` _ - . Laura Rininger Closing Coordinator Preparer of the Sales Disclosure Form Title 7820 Eagle Crest Blvd. Regional Title Services, LLC Address(Number and Street) Company Evansville, IN 47715 812-759-5555 City.State and ZIP Code Telephone Number E-mail LIT SELLER(SjZGRAN!TOR( �_ --- -- c, , 7777 - Barry B McCarty Robin McCarty Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 107 E Walnut 107 F Walnut Address(Number and Street) Address(Number and Street) FL Branch IN 47648 Ft Branch IN 47648 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and plete as required by law,and is prepared in accordance wit '6- 1-S".S,"Real PmpeAry Sales Disclosure Act". Signs eofSelle: Signature of Seller Barry B McCarty /0-ChA I Robin McCarty py 0/7-00h Printed Name of Seller (( Sian Date(M.M/DD/YYYY) Printed Name of Seller ,{A.6ILpMutT S /D'-FrBU}'ER S 'GRANTEE S ,aARBLIE�}T.IONtFORPROPERT}_TAXi)EDUCTIOryS�.IDENTIF} ALlitI S,. T�YP, - � --. —_ Andrea L.Stodghill Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance&+.1 9 201/ 904 S.Lincoln St. Address(Number and Street) Address(Number and Street) Ft. Branch, IN 47648 242 ui THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION . IZ ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: - ❑ lig 107E Walnut S.Wind Power Device Address(Number and Street) ❑ ILi_i 6.Hydroelectric Power Device Ft. Branch, IN 47648 Gibson ❑ E 7.Geothermal Energy Heating/Cooling Device City.State7JPCode County ❑ Q 2.Does the buyer have a homestead in Indiana to be ❑ 12 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ Z 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) City,State ZIP Code Coring: ' e2 #4 _ O -000. - _D' - Primary property owner contact name E-mail