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Homestead_Whitehead (10)
INDIANA SALES DISCLOSURE FORM SDFID: Page 2 1b1IREPARER; ,`?:-..=�_, """-�--°_-"`•Ar" '.-F-r_.. _ ... - •- 77F - F51.- - , - - THOMAS L.MONTGOMERY GENERAL MANAGER Preparer of the Sales Disclosure Form Tide 101 PLAZA EAST BLVD..SUITE 102 TRUE TITLE SERVICE. LLC Address(Number and Street) Company EVANSVILLE, INDIANA 47715 812-402-6555 closinns5truetitlein.com Ciry',State,and ZIP Code Telephone Number E-mail IE?SEELER(S)'/.GRANTOR(S 'tf =t ., _ t.a<.-,.:, r ^—_ , . KEVIN BFSING Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document • 518 N HART STREET Address(Number and Street) Address(Number and Street) PRINCETON INDIANA 47670 • 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". k f„ e Signature ofSeller Signature of Seller KEVIN BESING 11/ (3 ) /2017 11/ /2017 Printed Name ofSeller Sian Date(MM/00/YYY11 Printed Name of Seller Sign Date IMMIDD/rvnt [F,WE;;YER(S)%GRAME(S)1 AP,P1.16AT!IONMORIRROP,ERTIY/TAXeDEDURIONS IDENiTIFeYeAl ITEMSbTHATAP,PLYC V.: , - i HANNAH R.WHITEHEAD Buyer I-Name as appears on conveyance document Buyer 2-Name us appears an conveyance d r 518 Address N. HART STREET. 44e Address(Number and Street) Address(Number and Street) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OPItt PLY. YES NO CONDITION I YES NO CONDITION 00A/i� El ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead gtiO residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Co6ttiSystem residence,including county: ❑ IN 518 N HART STREET S.Wind Power Device Address(Number and Street) ❑ 6.Hydroelectric Power Device PRINCETON, INDIANA 47670 GIBSON ❑ 0 7.Geothermal Energy Heating/Cooling Device City State,/ZVP,c�oda County IN El [ 2.Does the buyer have a homestead in Indiana to be ❑ 8.1s this property a residential rental property? vacated for this residence? If yes,provide ❑ El 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) 26-0-( 7--io0- 060 S79 oa S HANNAH R.WHITEHEAD City,State ZIP Code County Primary property owner contact name E-mail •