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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Lynette Murray Processor
Preparer of the Sales Disclosure Form Title
2301 N Burkhardt Rd First Advantage Title
I Address(Number and Street) Company
1 Evansville. IN 47715 812-490-8485 heteam o�firstadvantagetitle cam
City,State,and ZIP Code Telephone Number Email
1
Estate of Gladys V Wallis
Seller l-Maine as apt •ors conveyance dor eat, - Seller 2'Name as appears on conveyance document
010 1�. -f {-j I�Say,) W
I 4.dr ts(A'umber and Street? 1` 1s�__�, I ^ Address(Number and Street)
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Under penalties of perjury, I hereby certify that this Sales Disclosure,to the hest of my knowledge and belief,is time, correct
' and n ml i. e as¢'equ -ed by law,and i epared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
I • ' �, \i f, Pa60 aLl ,J
Signature of Seller 1 ,c_ /- Signature of Seller
Chad F Wallis Personal Representative 7
' Printed Name of Seller Sion Date(MM/DD/Yfl Printed Name of Seller sqr,i®.NN/DD/IYY17
rF`BUYER(S)/GRANTEE(S).-APPLICATION'FOR PROPERTY TAX DEDUCTIONS-IDENTIFY AIM ITEI : .a,l? lt'7', 'I .
Tyler W Gillett --�
BuyerI-,Nam as app on conveyancer seument Buyer 2-Name as appears on conveyance doe 1 n 2017
� a �� 4 motif . 6 C I
, cuss Number 5nd St eet
TIIE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TIIIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling System
a f..d nce,includi 1a c un ❑
1— S�� P�,� S.Wind Power Device
\7- nrrd:rands err 1 / L ❑ 6. Hydroelectric Power Device
G. — ) V , ❑ 1Z] 7.Geothermal Energy Heating/Cooling Device
City,Sane ZIPCode ran..
❑ ❑ 2. Does the buyer have a homestead in Indiana tJ�Lt"'J01 12 8.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: below.Please see instructions for more information.
Not available ill all counties.)
Address(Number'aid Srrert)
City,State Zll'Code County �— I —� - j"T�
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. Primay property owner contact mane E-mini