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Homestead_Coker III INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
— — —
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(a)columbiatitlegroup.com
City,State,and ZIP Code Telephone Number E-mail
• 71--`11 -- - -
Jennifer A Schott
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
8781 S 800 W
Address(Number and Street) Address(Number and Street)
epthierra-iN-4-7e12 l- doing- �ZN 41 (n3P
the best of my knowledge and belief,is true,correct
and co pl regyir by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
nature of lee Signature of Seller T �q(-'••��
ennifer A Schott 8/8/2018 ; . A 111
Printed Name o Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYrJ
1 :w te;ER S "GRAN. .•_/APP.LICATIONWOR$PROPERT"TAX1D e. •, ! 0NS ! o TIFET`L'LIHTEiMfS I /•',•L., ,_. �_
- -- -- - - - - - -
Albert V Coker III Sarah N Coker (U
'• n^^ •n conveyance document '•- --.--: • •ears on conveyance docugrept
4341 East 1300 South 4341 East 1300 South
Address(Number and Street) Address(Number and Street) GIBSON COUNTY AUDITOR
Evansville, IN 47725 Evansville, IN 47725
YES NO CONDITION YES NO CONDITION
•0 ❑ 1.Will this property be the buyer's primary E ❑ 3. Homestead
residence? Provide complete address of primary ❑ • -I - - _. -eating/Cooling System
residence,including county: ❑
Ig 5.Wind Power Device
4341 East 1300 South
Address(Number and Street) ❑ RI 6. Hydroelectric Power Device
Evansville, IN 47725 Vanderburqh ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ❑ VA 8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide ❑ WI 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.
(31 Q C.D Mat Ln s Not available in all counties.)
Address(Numh<r and StreetL
c1V-ei ekc ,� 4-)G1i3 L& c'et 2,6-13- l4 - Loo-000 7431 - out
City,State ZIP Code County
Primo ry property owner contact name E-mail