Homestead_Graham (4) INDIANA SALES DISCLOSURE FORM SDF ID: 2018 Page 2
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D. PREPARER t
Teresa S. Holifield Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
. Address(Number and Street) Company
Evansville, Indiana 47713 (812)425-0055 teresa @swinland.com
City,State,and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Zachary W. Edwards
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
823 S Dogwood Ln
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct
�n mp s required b�w, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
/\... ignature of Seller Signature of Seller
Zachary W. Edwards 5/23/2018 5/23/2018
Printed Name of Seller Sign Date(MM✓DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ; s, THAT APPLY
F
Mary Kay Graham ' !
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance :o rr '�
527E 150 S u t. 0
Address(Number and Street) Address(Number and Street) '
Princeton, IN 47670
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
Y NO CONDITION YES NO CONDITION
py11 ❑ 1. Will this property be the buyer's primary 01 ❑ 3. Homestead
residence? Provide complete address of primary ❑ 4. Solar Energy Heating/Cooling System
residence, including county:
❑ 5. Wind Power Device
823 S Dogwood Lane
Address(Number and Street) ❑ 1::( 6. Hydroelectric Power Device
'Princeton, IN 47670 1 Gibson ❑ GC 7. Geothermal Energy Heating/Cooling Device
City, St to ZIP Code County ❑ 8. Is this property a residential rental property?
❑ 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.
Not available in all counties.)
Address(Number and Street) ai-{a- 15-aoo - Cco' 8110 -Dad
City, State ZIP Code County Primary property owner contact name E-rnail
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