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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