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Homestead_Marlow INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ILaFREPARE qn,._ 11 -rz-.;:.72N 7._ a 'al , � t _ `? ,.dam-" t;T Kim Loesch Processor Preparer of the Sales Disclosure Form Title 2301 N Burkhardt Rd First Advantage Title • Address(Number and Street) Company Evansville,IN 47715 (812)490-8485 City,State,and ZIP Code Telephone Number E-mail IfE rSEBLER(SEG AANTORg "- .r;;Tkr-T , —j =';�'.,-'z n t,t : YiA. . : We -3�?;� $ -y°' Mildred M Whitehead Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document Address(Number and Street) Address(Number and Street) /08 22 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 aw,a d is prepared in accordance with IC 6-1.1-5.5,"Real Propek2 2S�lle is osia tiNAIRSIO 1ff 90( Signature o Seller Signature of Seller Mildred M Whitehead (2f OZ9 8-1; Printed Name of Seller Sian Dote(MM/DD/YYY1) Printed Name of Seller Sian bate(MM/DD/YYYY) 4MBUyERCS: GRA\,TEE_(s)'EiAP,PLIGATIQN(FQR)P_RAPER.TaYttTAtEDU.CTIQNStilDENird hir(AL'L'}ITE_MSy ,' U -, _= .; j Jeffrey Scott Marlow Dana Kathleen Marlow ; f : t Buy rj�A'ame as ap eprs one nrryance document Buyer as �' 7 uy appears on conveyance document Address cillyuber and Streeg_ Address(Numbe nd St/� ./mil Vet I - 7 7727 t- r tl// THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES '0 CONDITION YES 0 CONDITION ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,' cl d gco nty: 5a g o �u ❑ Ig 5.Wind Power Device • Addresternumber and Street City,State ZIP Code ❑ 0 6. Hydroelectric Power Device ,va.'ns✓i Ile / ! (177a-__c El ❑ 7. Geothermal Energy Heating/Cooling Device County ❑ ❑ 2. Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 17I 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 County • -a3 -I3 -400- OD 1. o $?-0ag Primary property owner contact name E-mail 1