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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
1D'P.REP,ARER=- ,
CHRISTINA LENFERS CLOSING AGENT
Preparer of the Sales Disclosure Form Title
501 MAIN ST STE 101 BOSSE TITLE CO
Address(Number and Sweet) Company
EVANSVILLE IN 47708 812-421-4000
. City,State,and VP Code Telephone Number E-mail
ANGELA M ELPFRS -
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
• 3310 el (Darr en+o ' Rd .
Address Number anQStreet4 I ' I [n Address(Number and Street)-•
Jj_II IIrViLT �d-T jr„ ' �C / �39
E-mail _
. . Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
andsmple as requ' dd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signapi e of Seller Signature of Seller
ANGELA M ELPFRS 05124/2018
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/D0/YYYt)
F:![3UYER(S)/GRANTEE(SW AP,PIsICATIONIEO R!PROPERTtYa7TAX1DEDUC-TIONS„(IDENTIF,YIALL ITEMSPIHAT/AliglY•_ 1 . -_ j
AUSTIN FARRINGTON
Buyer l�am eaPpears n conv p dqumeC V) Byrl2-Name as appears on conv ern nt u It
F,
r
Addr s Number dStreet
13 Address(Number and Street)
�'� 63g JUN 072018
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF Tail SQt)Ae"AIYJNTY AUDITOR
YES O CONDITION YES NO CONDITION
( ❑ 1.Will this property be the buyer's primary BLVD Homestead
residence? Provide complete address of primary ❑ .Solar Energy Heating/Cooling System
residence,including county:
❑ Er 5.Wind Power Device
Address(Number and Street) ❑ [^t /"6.Hydroelectric Power Device
4
❑ L 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ E�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 ❑ Lii 9.Would you like to receive tax statements for 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)
City,State ZIP Cade County c2b— 1g -3 b -3Gc-ooa. Ito8 -O V
Primary property owner contact name E-mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".(Note:
Spouse //information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
bet//��ggppfi{I�(-d.) ,�y�
Signature of Buyer'
Signature ofBuyer2/Spouse
AUSTIN M FARRINGTON 05/24/2018
Last 5 digits of Buyer I Driver's State Last 5 Digits of Social Security Number Last 5 digits of Buyer 2/Spouse Driver's State Last 5 Digits of Social Security
License/ID/Other Number Number License/ID/Other Number