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Homestead_Newcomb
• • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ailtP,REBARER. -W-.iF•- ,—'.-mow,-sF?=,`-`,n ?:=7,1 - _ — . -a, "'�'�`k�,_;�;op.Er^353:iai':t , Sherri S Hudson Closing Manager Preparer of the Sales Disclosure Form Title 501 Main Street,Suite 101 Bosse Title Company Address(Number and Street) Company Evansville,IN 47708 812-421-4000 closinq.deptonieffbosse.com City,State,and ZIP Code Telephone Number E-mail LEASETL'ER(SWGRANTOR(S)Ka r-a.ny--a-, -- -E.rs a ;.Wr X;Il -$ `-.<. ' ,y, :-.- M5/ 4.i`p Ti Matthew R Tooley Roseandrea C) Tnnley Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document ?o Kit /03F- itea10-17 ddress(Ruthberarid Street) Addrestp i Bee dStreet))? Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best ' my know :dge and belief,is true,correct and complete as requi :• by law,and is prepared in accordance with IC 6-1.1- it"'`' t .t! S.les Disclosure Act".00 , s Signata ,• Selter`� signature ofSellei- -� I�/ Matthew R Tooley 2/2.3//2r Roseandrea 0 Tooley ��3 /U Printed Name of Seller S�unDate(NAI/61TiTi1 2 Printed Name ofSeller bF,.iBU,YER(S)"/.G RANT E MIME!P.[f GAT ION(EOR'PROP:ERTeYY45FAX.DEDUCTIONSZIDE NT!F,YtALL ITEMSpTHATAP BYn.t ., 1.�y Shalonda Maree Newcomb John Lawrence Perkins .t x3- Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 2555 ountry Club Dr 25 CoNryClbDr O "'Addr ess(Number and Street) Address(Number THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPCYJ re YES" NO CONDITION I YES NO CONDITION .QG ❑ 1.Will this property be the buyer's primary per❑ 3.Homestead 17/T0R residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 12 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device cty,smmzi ace caanty ❑ � Geothermal Energy Heating/Cooling Device ❑ [j2.Does the buyer have a homestead in Indiana to be ❑ 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) %'- /9-/P /o/- 00/. /601- og6 City,State ZIP Code County Primary property owner contact name E-mail