Homestead_Leek INDIANA SALES DISCLOSURE FORM SDFID: Paget •
IDa$RE$ARER2-4 1«. f_5;� . °d x, r ,;, - _,r><s *,i - � e ..g ���-`ii.lc <se;Chi ,�
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Deena Hendrickson Closer _
Preparer of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Tanner and Street) Company
Evansville, IN 47715 (812)759-5555 closingsnregionaltitlellcom '
City,State,and ZIP Code Telephone Number E-mail
re -r - t V. _ t. $
Aaron J.Ripple
Seller I-Name as appears an conveyance document Seller I-Name as appears on conveyance document
5722 W 550 S 5722 W 550 5
Address(Number and street) Address(Number and Street)
Owensville,IN 47665 Owensville,N 47665
Under 'enalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an. o •plete a ui d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". -
(q •Jo( ller �-/ Signature of Seller
Aaron J.Ripple j(,?7,r11 6
Printed Name ofSeller Sign /DO/YYYI] •Printed Name of Seller .. Sign Date(MM/DD/WYl) .
•
r3BUY+ER651Y/GRANTEUST AP.P.LICATIONIEORIPRORER IYiTAXIDEDUGTI S-IDENTIEYdAL4 81IITEMS5FHATd1YEP.LYLeL t - ' x a. r
Cliiiton Di Leek Q, LAG
Buyer I'Name as appears on conveyance document Buyer 2-Na a as appears on conveys c meat .
9626 Winyard Place "I L u-LI Wthitictrof Fla o€
Address(Number and Street) Ad•ress(Number and Street
Owensville, IN 47665 l VievAsv∎ ILt_.■ Iln 3 Lht,10S
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDmON I YES NO CONDITION
[)/�❑ 1.Will this property be the buyer's primary YES
3. Homestead 4
residence? Provide complete address of primary ❑ El 4.Solar Energy H9atir4f olio s
residence,including county: ❑ i
5722 W 550 S El 5.Wind Power Devicer,���l�yV q2
Address(Number and Street) ❑ El 6. Hydroelectric Pow&91jevicg 2018
Owensville,,N 47665 Gibson ❑ El 7.Geothermal Energy/bleating Co in evice
City,State zl code County ❑ ❑ 8.Is this property a , 1 property?
❑ 2. Does the buyer have a homestead in Indiana to be I&
vacated for this residence? If yes,provide ❑ El 9.Would yourRol�teL�S �ax?Sta�er��tfor 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) 1�/ 4 4 g -kr-!yy� 'Grp
Clinton D. Leek Kayla Leek ab o'(/(J�)(.CJ (tJ 6
- -- . _. --- -County ty Prima rypra . h.v n et__ name
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