Homestead_Folsom (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Kim Loesch Processor
Preparer of the Sales Disclosure Form Title
2301 N Burkhardt Rd First Advantage Title
Address(Number and Street) Company
Evansville. IN 47715 (812)490-8485
City.State and ZIP Code Telephone Number E-mail
. .
FEISURERFSIAGRANIRORISMILtTfra-Car -Zart4.9*4.,tt7LEViTa:WaMSP.7r-k7-7,71-eittinfir e::-'M=1
Avery Lee Manns Jirittnriy I Manns
Seller I-Name assJ.1pears on conveyance document • Seller 2-Name as appearyzjim ice document
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Address(Numbenvd Street) Address(Number and Street)
V in MCC in
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State,and ZIP Code
Telephone Number - E-mail Telephone Number E-mail
Under penalties of perjury,I 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
.--. isclosure Act".
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, tuna -of e ler .5-a - signature of Seller \fil
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• ery Lee Wring Brittney L Mann
Printed ne of Seller Sian Date(mon -ynLtf Printed Name 0 se, Slot'Date moo
iT:ji-T12SEE(SWAPTRnIQATIONIEtiftiP,RO.REIKIWtilikViDEDHERIIOSE-NililEY5cLitc2111WMS-GTEITAPAWZ:v357 ,gAmtal
liewavne A Folsom
.. , _ n conveyance document Buyer 2-Name as appears on conveyance document
S s-i,k. c2cael S"--)
Address(Number and Sere& Address(Number and Street)
,
( cAcv.,troi Cdk--L-k7- -(rs v■Th1/4490 . .
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAI:Rot 8 2018
YES NO CONDITION YES NO CONDITION
,, 0 1.Will this property be the buyer's primary N 0 3.Homestead 1. . .A ;A °IA)
residence? Provide complete address of primary 0 gi 4.Solar Enerim41§- el; ts• I a
residence,including coon I'CI'elt5VIOR
• 1 -)c- 0 TA S.Wind Power Device
Address(Nuaeher and Street). 0 m 6.Hydroelectric Power Device
V(tin(c li■--- IPA LE1 U.-2 S.) 0 vi 7.Geothermal Energy Heating/Cooling Device
City,State Z IP Code County
0 TA 8.Is this property a residential rental property?
0 & 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 R) 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) •
CA3 .. 03 -35-3o0-coo.83S-cal
City,State ZIP Code County
Primary propertyciumer contact name E-mail
Under penalties of perjury,I 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
beAg filed.)
ULOCt4r\SI- a (90A6Mn
Signature of Buyer; Signature of Buyer2/Spouse
Dewayne A Folsom 'S -)-Y 1 r
Social Security
License/JD/Other Number Number License/1D/Other Number