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Homestead_Schraner
INDIANA SALES DISCLOSURE FORM SDF ID: 2018 Page 2 D. PREPARER Kathy Masterson Escrow Officer Preparer of the Sales Disclosure Form Title 605 SE Martin Luther King Jr Boulevard . Southwestern Indiana Land Title Address(Number and Street) Company Evansville, Indiana 47713 (812)425-0055 kathy@swinland.com City,State,and ZIP Code Telephone Number E-mail E. SELLER(S)/GRANTOR(S) Gary W. Brown Patsy S. Brown Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 2254S750E 2254S750E Address(Number and Street) Address(Number and Street) Francisco, IN 47649 Francisco, IN 47649 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". OA ,v .3,..c — p Q - @,11/4 _� Signature oVSeller \Signature of Sell Gary W. Brown 3/7/2018 Patsy S. Brown 3/7/2018 Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITEMS THAT APPLY Mark G. Michelle L. N FO as appears on conveyance do r,en 814 W 4th St. 814 W.4th St. Address(Number and Street) Address(Number and Street) MAR 1.2 2018 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES /NO CONDITION YES /NO CONDITION CV ❑ 1. Will this property be the buyer's primary CE. ❑ 3. Homestead residence? Provide complete address of primary ❑ p...--4. Solar Energy Heating/Cooling System residence, including county: ❑ 5. Wind Power Device 2254 S 750E Address(Number and Street) (�❑ 6. Hydroelectric Power Device Francisco, IN 47649 I Gibson El AO 7. Geothermal Energy Heating/Cooling Device City,State ZIP County ❑ . fJ Is this property a residential rental property? • ) El 2. Does the buyer have a homestead in Indiana to be ❑ X 9. Would you like to receive tax statements for this E vacated for this residence? If yes,provide complete property via-email? (Provide contact information I address of residence being vacated,including county: below. Please see instructions for more information. Not available in all counties.) Address(Number and Street) �( „ 13-R,1 - 300-00099- ©o iCity,State ZIP Code County Primary property owner contact name E-mail mi