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Homestead_Brown Jr :INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER Crystal Alvarez Title Examiner Preparer of the Sales Disclosure Form Tide 7820 Eagle Crest Blvd..Suite 201 Regional Title Services. LLC Address(Number and Street) Company Evansville, IN 47715 812-759-5555 crystal.alvarev@reclionaltitlellc.com City,State,and ZIP Code Telephone Number E-mail E.SELLER(S)/GRANTOR(S) • _.. • _. t • Janene R Michel Trustee of the Janene R Michel Revocable Trust Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1574 E 750 S Address(Number and Street) Address(Number and Street) 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". Signor of Seller Signature of Seller ���---yyy TTT���$ IaPPOP R Michel ll Trustee ate 23)2018 f kiALF ( / /YrTrl Printed Name Mirhel/er Sign D 3/23/DD/YYYY) Printed Name o Seller n e MM DD F.BUYER(S)/GRANTEE(S}-APPLICATION•FORPROPERTYTAXDEDUCTIONS-'IDENTIFYALLIT M Si' oyer1-ha Y i 8 2018 Buyer l- ame as appears on conveyance document Buyer 2-Name as appears on conveyance e 203 9th St Address(Number and Street) Address(Number and Street) 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 N N 0 ❑ 1.Will this property be the buyer's primary ❑ 3,Homestea residence? Provide complete address of primary © 4.Solar Energy Heating/Cooling System so S S res rice,in t,rig county: ❑ • S.Wind Power Device f4�ddress(Nu�(Number 1)( N 1-11/6,1b / ❑ ❑ 6.Hydroelectric Power Device Y /� /n ( ❑ Q 7.Geothermal Energy Heating/Cooling Device ity,StateZIPCode County ❑ Q 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ E 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) • - /a - 07- yo V-4901 o `/Y= oO as City,State ZIP Code County Primary property owner contact name E-mail