Homestead_Weightman INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 .
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Kyle Walton
Preparer of the Sales Disclosure Form Title
5720 S. Eastern School Rd
Address(Number and Street) Company
Pekin, IN 47165
City,State,and ZIP Code Telephone Number E-mail
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Sabre Investments LLC
Seller I-Name as appears on conveyance document Seller 2.Name as appears on conveyance document
P.O. Box 3074
Address(Number and Street) Address(Number and Street)
Carbondale IL 62902
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, ,,San - 18sure A "
JU N
1- --(5—
'Signature of Seller Signature of Sdler
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Kenny Rothman Pies b–fer- za es-
Printed Name of Seller Sian Date ISPI/DO/21111 Printed Name of-Seller et ap.b: rni inrrY Atst,i3Kfiewmyyrn)
I :i ttYER. S 7, 7NIFEEg-TATOVTAIlial,FCM.10 OTIER.ritYX/0415-41' : ON SD, I ITT lATIMEEM-skpriAVARIW's^
• , ___-- . • . ars an conveyance document
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vWC— .cfsear)_, ...recd.
;• ---..., -• • . ,n conveyance document
. .. 4011 Scheider Drive ••-- • 104W. Vine St
- .:.-..Address(Number and Street) •, •* : Address(Number and Street)
Evansville, IN 47720 Fort Branch, IN 47648
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FORT . ••0 PE RTY. IDENTIFY ALL I I E THAT APPLY.
YES NO CONDITION YES NO CONDITION
El 0 1.Will this property be the buyer's primary jzi n 3.Homestead
residence? Provide complete address of prima , L• r" • . • - 8 7 rm 'eating/Cooling System
residence,including county:
0 IN S.Wind Power Device
303 N West St (BUYFR 21
Address(Number and Street) . 0 2 6.Hydroelectric Power Device
Fort Branch, IN 47648 Gibson 0 2 7.Geothermal Energy Heating/Cooling Device
Ci0i,State ZIP Code County
n IA 8.Is this property a residential rental property?
n VI 2.Does the buyer have a homeStead in Indiana to be
vacated for this residence? If yes,provide 0 I2I 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)
A6"\8 ' 13 -401 -000_ oc9 -026
City,State ZIP Code County
Primary property owner contact name E-mail