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Homestead_Mcgee II INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER Crystal Libbert Title Clerk Preparer of the Soles Disclosure Form Tide 4703 Theatre Dr. Regional Land Title Address(Number and Street) Company Evansville, IN 47715 812-402-4553 crystal(alregional-Lt.com City,State,and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S) Carol J Hayneman Jennifer L Dunlao Seller I- me as appears a nvelance ument Seer 2-Name as appears on conveyance document k ( -u-e a• -v 2 3 lb a Piave. Address(Number and Slrei(] , • Add s(Number and Street) -21. -3o fl • z . hwistet8, /d 4767o il.0-) �} 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 o Seller S" natu o Seller °^�� -'7 Carol.1 Hayneman /9 `'a`i / Jennifer L Dunlao f C7--I d- f / Printed Name of Seller Sian Date(MM/DD/Ym) Printed Name of Seller Sign Date(M.4/00/1YYY) F.BBU�UYER(S)/GRANTEE(S).-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY /Theoohilus G.McGee II Jan L. McGee • B�uyerIme as appears on a ante document uyer2-Name as appears on nveyanced me t 7003 N 'ToO LTvd� Address(t umber nd Street) �/Addr (Nu er and Street) f _ \ _ __ /� THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION �/�L�� �❑ 1.Will this property be the buyer's primary ❑ 3.Homestead (,gyp 7� residence? Provide complete address of primary ❑ © 4.Solar Energy ACat� t ISI SYstUiDITOR residence,including county: j 106 Vine Si ❑ El 5.Wind Power Device 1V P Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Fort Branch, IN 47648 Gibson ❑ g 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 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 in all counties.) Address(Number and Street) a/o — / 8-/ 3 - crag-coo. Yd 9-om, City,State ZIP Code County Primary property owner contact name E-mail