Homestead_Greene INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Kim Loesch Processor
Preparer of the Sales 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
YEdSEPPER S .GRft'vTOR(.5�.`n l:%; -412N...w STaiii"" C:F4 ITA,C52= zlkiT'er 's -n--- ri V.47.. t-�•a':�,�
( J s �-st�_>�v,,� ,..i!er�...$5??'� _.f�.a. s_., 'a„L�i_._ ak-� •'�:-� =a u. -� `_A�...
CAC Development ameitsa aComoanyI Iloanent "V .
Sellerl-Name qsa a ¢conveya�doa meat ,/1 / Seller 7-Name as appears on conveyance document
Address(Numberrra [re 011`I r� DlI l (fn+//�.{/ 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 comp ete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Christopher A Combs Member
Printed Name of Seller Sion Date(MM/DD/Y111) Printed Name o[Seller Sian Date(MM/DD/YYYY)
aF??BU.1,ER(SAGRVN irjEE(STWAEPLIGi1TIlONIFORfP OR-gRTrYzTAADEDU6T100NS IIDENTIFYtil igiipEMSiTH'ATi'AP,PLyP'z,W
Robert•C Greene (IC(tA - /
Byer l-Name as appears on conveyance doe me Buyer 2.Name as appears o conveyance document
(4 q GO, - WCit4 0U� �� _
Addres Numb rand St et) Address(Number and Street)
e
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS I'ROPERTY. IDENTIFY ALL OF THOSE THAV6P• v��,
' YES NO CONDITION 1'FS NO CONDITION �Tp 00,
❑ 1.Will this property be the buyer's primary ❑ 3. Homestead -900
residence? Provide complete address of primary /
� 4.Solar Energy Heating/Cooling em
resideny iv m : 0. I4N a- cA-C..-
❑ ig S.Wind Power Device
Address(Nu 'heron street ll-3 11-tQy ❑ ❑ 6. Hydroelectric Power Device
cy,smrezl cage t ) cm,nn' ❑ ❑ 7.Geothermal Energy Heating/Cooling Device
❑ 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 ❑ j71 9.Would you like to receive tax statements for this
• complete address of residence being vacated, property via e-mail?(Provide contact information
nclud oun ^ 1 below. Please see instructions for mor-einfor-mation.
i 'V Not available in all counties.)
Addle Number and SO'et)
ICI \-. 4—)CI—) 0 62/6 - i9-3i -1/4o-boa. 7//- Jov
1 City,State ZIP Code County
I Prima,)'property owner contact name Email