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Homestead_Welch Jr
INDIANA SALES DISCLOSURE FORM SDF ID: 2018 Page 2 D. PREPARER - . Teresa S. Holifield Escrow Officer Preparer of the Sales Disclosure Fomi Title 605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title Address(Number and Street) Company Evansville, Indiana 47713 (812)425-0055 teresa @swinland.com City,State,and ZIP Code Telephone Number E-mail E. SELLER(S)/GRANTOR(S) James C. Welch, Sr., by Gary W Welch,Attorney-in-Fact*a01l bcoO N84I Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 531 W. Brummitt St. Address(Number and Street) Address(Number and Street) Owensville, IN 47665 , 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 la ,and i prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act". Xrls�z C C `dd 5 �GJ} / )Signature ofof Se Signature of Seller James C.Welch, Sr., by Gary W.Welch, Attorney-in-Fact 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 James I-Welch,Jr. Darlene J. Welch LED Buyer Namm as Bu Name as appears on conveyance document Buyer r d 2-Name as appears on conveyance e 10217 Evansville St. 10217 Evansville St. . Address(Number and Street) Address(Number and Street) MAR 2 8 2018 Cynthiana, IN 47612 ' Cynthiana, IN 47612 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OFTHOSETHAT'APPL AU�ITOR YES NO CONDITION YES NO CONDITION ❑ 1. Will this property be the buyer's primary ❑ 3. Homestead residence? Provide complete address of primary ❑ 4. Solar Energy Heating/Cooling System residence, including county: 531 W Brummitt St. ❑❑ ,./4Q- 6. Hydroelectric Power Device 5. Wind Power Device Address(Number and Street) ;Owensville, IN 47665 I Gibson' ❑ 7. Geothermal Energy Heating/Cooling Device C, State/IP Code County ❑ 8. Is this property a residential rental property? tj( 2. Does the buyer have a homestead in Indiana to be ❑ 44. Would you like to receive tax statements for this vacated for this residence? If yes, provide complete property via-email? (Provide contact information address of residence being vacated, including county: below. Please see instructions for more information. Ivan beill5v1 It c. 51- - Not available in all counties.) l Alidress(Number and Street) /�} 41- a -loa-o©piat3-oaa City,State ZIP Code I C my Primary property owner contact name E-mail