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Homestead_Garris
- i I INDIANA SALES DISCLOSURE FORM SDF ID: Page: ;,DbPREPA'RER_`y _ ., - Becky King Closing Services Preporer of the Sales Disclosure Form Title 7820 Eagle Crest Blvd., Suite 201 Regional Title Services, LLC Address(Number and Street) Company Evansville, IN 47715 812-759-5555 beckv.kinq(ahregionaltitlellc.com City.State,and ZIP Code Telephone Number E-mail :E:SECLER(S)%GRANT,OR(S11 `, `_1 . ' 41' .1 s i Damon Blackburn Melissa Blackburn Sellerl-Name as appears on conveyance document Seller 2-Name as appears on conveyanc docu nt CI 0q E 9T-. 6.11 cA o-: c1- q0a Ea„21 .6At-t2� S�- Address(Number and Street) Address(Number end Street) ?ETI_93or-C& S4 ci 766 PAsr,ln 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 of Seller Signature of Seller Damon Blackburn 02/13/2018 Melissa Blackburn 02/13/2018 Printed Name of Seller Sign Date(MM/DD/VYYY) Printed Name of Seller Sign Date(MM/DD/YYYn `KR U,YER(S)/GRr1NTEE(S)SARREicATION EOR«PRORERMY(TAXFDEDUCTIQNS=iiDENTIFYAL[ pTEMS_THATAPPLYI __ __ 1 Brad S. Garris Heather M. Garris . Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 7891 S. 1ndze__ Ln• -1 xc / 5 . !Find i.V) Address(Number and Street) Address(Na ber and Street) ‘ck. CSYri , ^ p THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THATS@IBLY. `CO �'� YES NO CONDITION YES NO CONDITION OOH'°fr (p • e El 1.Will this property be the buyer's primary z ❑ 3. Homestead 0n residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling�Sys residence,including county: -1 9130 W State Rd 165 ❑ N 5.Wind Power Device �1/2.O Address(Number and Street) ❑ 0 6.Hydroelectric Power Device ,p Owensville, IN 47665 Gibson ❑ 121 7. Geothermal Energy Heating/Cooling Device City,State ZIP Code County MI ❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ B. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 71 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. 14 C I S NA f ( r\ Not available in all counties.) Address and Street) -F-c- `Fj;(C,I(rt, ,T A Y 4-1(P-tY t bSU-1 A -/7-03- 300 _ . // - O /1/ City.State ZIP Code County Primary property owner contact name E-mail