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Homestead_Skelton (5)
INDIANA SALES DISCLOSURE FORM SDF ID: _ Page 2 . Crystal Libbert Title Clerk' .1. r Prepare.fdm ales Disclosure Fon,, ntle 4703 Theatre Dr. Regional Land Title Addrm(Number and Street) c,ec,pany. Evansville.IN 47715 812-402-4553 crystal(D reelonal-Ltcom Mei State,and VP Code Telephone Number E-mail PraallISIKVIVOTThit. 42 ., ` .. :r- '''S.-4.-:0....;--I5 p r ;r_�, x?,0e; •',Tale .. Willow Development Groun'LLC - -- - - - vOerI-iJame aypm�on c�nveyun meat Seller 2-Name as appears on conveyance dowment I 3 56 5 GJY V� nErtl(Nansber anO Street) Address(Number and Street) . U der penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct d complete as�re�quired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act'. -.Signoture cf5l try � � ` � Signature of Seller Bon Mayer Member l\ 3R/p/21°f•5 Printed Name of Seller vv Sikh Dale(MU/eDftflJ� Printed Name of Seiler -.Sign Date(MM n ,aU nS GRANTEE 7153aP',AIL'A'PION,FF R' El 't 7";AXL E2'Yf�J!(zj:4 FTI2Gy;G.i Atli i' er%tS�.cHa!rAPi�iax . . NieholasKvleSkelton ShinerAnnMassev , Diiyer I-Nameas appears on convey ancedoc:ment Bayer 2-Name ea appearsommnveyance document X/ I 0 -ii It lb�ft,, 1, . ire+? 7Q - 3/z C- GU9/huT57% Address(Number and Street) 1 Address(Number and Street) e - . a 76?D fit,ncer-on / _7 A.- 1-l7670' ..--,-\< . TIIE SALEM CLOSURE FORM MAY OE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TIUUSPROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. YES O CONDi1)DN YES NO CONDIHON - [t I.Will this property be the buyer's primary Q ❑ 3.Homestead ' • residence? Provide comp to address of primary ❑ © 4.Solar Energy.H g din e residence,including county: ❑ ❑ 5.Wind Power Device L� . 909 E Kentucky Addrm(Number andStreet) ❑ 7U 6.Hydroelectric PowehliVicc 1 2n18 ' Princeton,IN 47670 Gibson ❑ 2 7.Geothermal Energy eadng oo mg Device Gty,State ZIP Code County ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a re//'•ential en.. pro• ? vacated for this residence? If yes,provide ❑ ❑ 9.Would you like to .S.:,,':ga,irj...•(gents for this complete address of residence being vacated, property vl€l$SQEtl0.re • e 'pgatjgfa,ygation including county: beloiv.Please see instructions for more information. Not available in all counties.) Address(Number and Street) n b- la-11-/o 1-� y -ps& WS [y,Stem ZIP Code County Primary property owner contact name Email --- - --