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Homestead_Moog
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 iDP,REPARER} • r' • - — Kandace Rogers Closer Preparer of the Sales Disclosure Form Title 3101 N. Green River Road Suite 130 Columbia Title Address(Number and Street) Company Evansville. IN 47715 812-471-8563 kandace(5columbiatitlegroup.com City,State,and ZIP Code Telephone Number E-mail E?SELLER GRANITOR(S))- ;. �r�° - - -t° 7-7_ Sandra K Vaughn by Belinda Wailhank Attorney-in-fact Seller l-Name as appears on conveyance document Seller 2-Name as appears on conveyance document •Address(Number and Street) Address(Number and Street) • City;State,and ZIP lode- City,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 Disclosure Act". Signature of Seller Signature of Seller Sandra K Vaughn by Belinda Wallhank AIF Printed Name of Seller Sian Date(MM/DD/1m7 Printed Nome of Seller Sian Date pas/DD/Y1Y11 re4,TiUtYER()/GRi1'_\�TtE_E(S�APPL[Ainl04FLUR)PROP,.ER7jYY I XDEDUC,Tr.IONSzIIDENf fir EdalliITEMSiiTiTATrfA'P,-PLye. ,. 3a-s-„_ Christine E Moon Buyer]-Name as appears on conveyance document Buyer 2-,Vame as appears on ument 5689 South State Rd 57 D Address(N'umberand Street) Address(Number and Street) J F J THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF TT�tuq�,ty YES NO CONDITION I YES NO cONnMEMSON COtm rv--- ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 5689 South State Rd 57 S.Wind Power Device Address(Number and Street) ❑ g 6.Hydroelectric Power Device Oakland City. IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ g 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) I I City,State ZIP Code County a©- ll -ab�- . Ea- O/ Primary property owner 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 •