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INDIANA SALES DISCLOSURE FORM SDF ID: 2018 Pagl
D. PARER
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Preparer of the Sales Disclosure Form Title I
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812)425-0055
City State.and ZIP Code Telephone Number E-ma
E. SELLER(S)/GRANTOR(S)
Michael L. Eichmiller Victoria L. Eichmiller
Seller I -Name as appears on conveyance o-umer' Seller 2-Name asagpeara on conveyance docum
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Address(Number and Sl/roet),'. � ` �//
Under en ties of per' ry I ereby certify that this Sales Disclosure, to the best of my knowledge and belief,is true, correct
and pl e a re• aw, and is prepared in accordance with IC -1.1-5.5, "Real l3Propperty�SalespDDiisciospre Act".
Signature Seller / cilantro of eller
Michael L. Eichmiller 1�/,j�/ Victoria L. Eichmiller 1
Printed Name of Seller S n al (1„V,/DDNYYY) Printed Name of Seller S n Date 111✓DDnYYY)
1 E BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY •
-1174 5_ (3t Aa€ Rac..Q,e.l S. SJ 1
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
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Address(Number and Street) Address(,\timber end Street)
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFYALL OF THOSE/14T APPL r
YES NO CONDITION YES NO CONDITION % / as ZO{D
k ❑ 1. WIII this property be the buyers primary ❑ 3. Homestead SON� • ,
residence? Provide complete address of primary ❑ 4. Solar Energy Heating/e 4,3,-4,
residence;including county: ,, -.
❑ 5. Wind Power Device .vrr
2424 E Warrenton Rd. ❑ 6. Hydroelectric Power Device D/x04,
Address(Number and Street) Y
,'Haubstadt, IN 47639 I Gibson' ❑ 7. Geothermal Energy Heating/Cooling Device
►y,C{ity,State ZIP Code County ❑ 8. Is this property a residential rental property?
)F' ❑ 2. Does the buyer have a homestead in Indiana to be ❑ 9. 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
14(I e it o 5 Not available in all counties.)
Address(Number and Street)
F'+ - 6ramc.4, tiGt-i c( 6, bray, oho- �4-i6- 06 - as/. 6 i - od/
City,State ZIP Code County Primary properly owner contact name E-mail