Homestead_Moore •
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Crustal t)bbert Title Clerk
Prepare,of the Sala D4,Jarn Fans 77th
4703 Theatre Dr. Regional Land Title
Address(Number and Street) Company
•
Evansville.IN 47715 812-402-4553 ctvstal(Wreoional-Lt.com
Od Stain and ZIP as Telephone Number Eta
E.SELLERS)/GRANTOR(S).. •"z dt,., Ft&t . -Y.ox. _ .. , - • raV eq;,
Matthew T Snyder
Seller 1-Hams at apppeearrss))oo�-n�p ncedocument SeIkr2-Name a aapron no conveyance decum:Re
X74 zz F�randkeet)Q Addrm(Number and SOeet)
Add^ea(NUmb.
XXI 1
• Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct
d complete as required by law,and is prepared in accordance with IC 6-1.1-5.S,'Real Property Sales Disclosure Act".
Slanature a/SeP. m
Slgwre ofseler
Matthew T-Srwder . 2 23 zo)9' _
Printed Harney Seller 11..Dote NN •D awe PrintedName• Seller -p fl • to •••usu
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(non n-JNtive•n non wnvQ na document Derr 2•Name as appal as conveyance docamelltn" ti Lvi
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Adirm(Plumber end Street) AddraNumber and St)
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ME SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR®RAIN DEDUCTIONS FOR THIS PROPERTY.IDrh71FYALL OF THOSE THAT APPLY.
YES NO CONDrnON —GONm'QON •
2 ❑ 1.Will this property be the buyer's primary ( 0 ste
❑ 3.Homea
residence? Provide complete address of primary u ® 4.Solar Energy Heating/Cooling System
residence,including county: ❑ ❑
811 N 4th St S.Wind Power Device
Address(Number mat Street) ❑ [ 6.Hydroelectric Power Device
• Princeton.IN 47670 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
d%,Rate DP Code ComeD
❑ NI 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 ❑ Ej 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(hunger and saes)
ape State Code aP Code County
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Prtmary__pnpetyowa.cent name Eymn