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Homestead_Eatmon INDIANA SALES DISCLOSURE FORM SDI:ID: _ Page LANA C. HARPER CLOSER l'rep ter ofthe Sales Disclosure Form Title 5231 Oak Grove Rd.. Ste. A TOTAL TITLE SERVICES. LLC dddrecc(:Number and Street) Company EVANSVILLE. IN 47715 812-468-8485 City State,and ZIP Code Telephone Number limed .E.SELLERS GRANTORS • ' - -" r - - •- . - :-',,4.-4 Atkins Prooartips LLC Seller I-Name as appears an ronretvn<e derume,,t Seller 2-Name as appears nn cnnrerunre document I DLP 10 C. 14S1) S jiI nnnsc(Num6e;and Street) ,'debts'(Number and Street) Y-a ii C�--�, r L'\i 9-l kaD (. Disclosure,to the best of my knowledge and belief,is true,correct r id complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". '_,'mare al Seller �/ G Signature of Seller n ' inon A I 1 yilne 0 - Y^10 y I toted Name of Sian Date I IMND/rrnl Printed Nome at Seller Sian Date DPt/uO/IliTl F.BUYER(S)/GRANTEE(S)—APPLICilT10\_POE PROPERTY 7At:DEI)UCTIOfx'S= IDENTIF1'-AI LITF.MS THAT4A1'0E} ,7,, -..- Nathan Eatmon Buyer I-Unme as appears an mnvryanr a document Buyer 2•Name as appears on converame drum Address(N umber ant Street') n '\ ,tddre-.c(N umber and Street) 1 t D0.vianet C' �L�f-471 {,t() e r t a 15-snail Telephone Number /J II1 E-mail TIIE.SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TIIAT PPLY. YES /NO CONDITION YFS /NO CONDITION C/BSOp Er ❑ I.Will this p per Provide the buyer's is pr m r primary ❑ ❑ 3. Homestead ..,,�N7,yA ❑ © 4.Solar Energy ['eating/Cooling System residence,including county: ❑ 0 5.Wind Power Device Add nos(Number and Streel) - ❑ Q 6.Hydroelectric Power Device ❑ M 7.Geothermal Energy Heating/Cooling Device cite State IIl',ale C'nunw ❑ j 2. Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ IZI 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.) AAdrev(Number and Street) 2_.0- ' q - 1R -130 Li - coo -447 p07 Cint Crab']IP rode County Primary y,ropertyaumer contact name E-mull Number License/ID/Other Number