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Homestead_Sanders • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 bD?IP,RE_PARER6 ., ' a � � S. -- +t7Kr•TC 6Wi zS - Y� <, Kim Loesch Processor Preparer of the Soles 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 SEgSELL 4TTG AI\T�OR(5)�r- 1 r ss:.r :.` ":: 71 $,_-'e - 7Fil ac.: `a? t...—""-_,'. .os 1 James M Hicks 9 Nam asap on conveyance docume t 1 Seller 2-Name as appears on conveyance document A, n ess(Number and Street) Address(Number and Street) Under penalties of perjury,I hereb ertify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and comp)• •as required by at and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". - / . rtse: Signo ,re ofSeller Signature of Seller - —. James M Hicks aiela Printed Name of Seller Sign Date( M/DD/YYVY) Printed Name of Seller ianD MM/DD/YM) IIFIIBUyER(�S GR'}1tNlTEE(!S)rv%tie,PLICffijONIF QR'PaR9fitUttroAXI,DEDUC.Tj.0.19. IDE IF$Yf tiiliEMsilli C`P.P.L' "? ;,mod •-a>,`'A I Chandler L Sanders • -Lorelei R Sanders 4p 1 Buyerl-Name s appears an conveyance document B_uy�er�Name as appears cony rice docu t ,220 ,_ I r ec n is ox �d- - �j0` and Tf espy '8 A,. (Number and Street) �� Address(Number Stree C00 THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION gic ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System J1 Jretide e,i cluddI_g county: ��_ ❑ 11 �� \ �(' 5.Wind Power Device A ss(Number and t c.c.) il `i L� ❑ ❑ 6. Hydroelectric Power Device City,Stnte�(1,r cu1ae ` 1 ��I�� 7.Geothermal Energy Heating/Cooling Device • ❑ ❑ 2. Does the buyer have a homestead in Indiana to be ❑ R. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ j 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information Iincluding county: below.Please see instructions for more information. Not available in all counties) I i Address(Number and Street) • + —/3—/2-4303— CC° 03a - 905 1 City,State ZIP Code County I Primary•