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Homestead_Seibert (2) • —'INDIANA SALES DISCLOSURE FORM SDFID: Paget `:D:PREPARER «?3Th `' ':hill . - ' AaaigrMk5vr2:,x% xz.' _ -. . ' =Angela Moers President Pre-mace afthe Soles Dbcfouoe Form Title 605 SE Martin Luther Kin°Jr. Blvd. Southwestern Indiana Land Title _. Mazy(Nuraberard Street) Company ' Evansville.IN 47713 812-425-0055 - Cry,State,cad ZIP Code Tele}bneNumber E-mail E:'SEIii:ER(S)%GRANTOR(5)i-tl egeM . , . IS:t ligg...pn3 .��; 3 ;k: "- . . KrieliP RF.C.MP St- Name a sppptn ace men[A A Sefkr2-Nano arappea rs ao mxeyvnrodxmsa[ ... run r �/ Ii( ' ccilddren(Plumber and Shwa) V ) ( tit rl} E-mail TelephoneNumber E-mail Under4enaltles of perjury,I he certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct -rid . pe _- i•equir-• .yI. d_i. .reparedinaccordancewithIC6-1.1-5.5,"RealPropertySalesDisclosureAct". iii • al._- _ r • I Sig •an• ter ( 1 SlgnotmeofSeller K istie Rae Dike L�(J Printed Name aflutter • Don MN/DO Printed Name of Seller N/aa/YYIYI :F:DUXER(S)/GRANTEE(S)i':APP.,d:1CATI0N OR(P,AOP,ER1'i'.gPX(D AEDl3.CT70NSIIDENTII:YtACL'']? }eaeslrsuo - ..-: E-mail Telephone Number e-nl.,. TIE SALES DLSCLOSURE FORM MAY DE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OFTIIOSE YES NO CONDITION YES NO CONDITION GIBSON COUNTY talon OF "p 0 1.Will this property be the buyer's primary . m ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 0 ❑� S.Wind Power Device 5744 S 850 W - Address(Nu mbc and Street) 0 0 6.Hydroelectric Power Device Owensville IN 47665 0 7.Geothermal Energy Heating/Cooling Device Clb.,Stan ZIP Cate Comb. -:0 Q 2.Does the buyer have a homestead in Indiana to be 0 0 B Is this property a residential rental property? vacated for this residence? If yes,provide ❑ © 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(NvmDerand Street) -f Cty,Snn77PCede Countye.�6 m- 11—It- too-0O3. 4ss-oi PrImenyaro petty m w contarename -mall .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".(Note: •Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is ' Number License/ID/Other Number f INDIANA SALES DISCLOSURE FORM Monica Prakash DEED PREPARE Preporer o/Ne Solu Disdosure Form rj��e 1000 Abernathv Road NE Buildina 400 Suite 200 PREMIUM TITLE SERVICES INC Address(NUm6erand5Vee1) Lompany Atlanta GA 30328 _ E-mail ARLP RFO VII I LC Seller I- h'ame as appenrs om m�vr�vnm document Selfer 2� �1'ame as appcan on ronveyvnte doaumen[ `i�� Silafld SifPPt Address (Numbn cnd S�rre�f AdEress (NUmber and Sveel� Disdosure, [o the best of my knowledge and belief, is true, correct and c�plet�s reqqiFa by la�v, and is prepared in accordance with IC 6-11-S.S, "Real Property Sales Disd��sure Act". r Brian Seibert Buyer 7- h'ome os appears an rom•eyanre dxumen! Address (Sumber and Svee[f Sigmmrco(Sclle� ) THE SALFS �ISCLOSURE FOfLN AIAS' BE USED TO ,\PPL1' FOR CERTdI\ DEDURIO\S ROR TH IS PROPERTY. IDE\TIFY ALL OF THOSH Q � 1. Will this property be [he buyer's primary residence? Provide completc address of primary residencc, includinp county: Address (Num6er and StreetJ Owensville IN 47665 Gibson Ciry. Sm[e Z/PCode Caunry � �✓ 2. Does the buyer have z homes(ead in Indiana [o be vacaredforthisresidence? Ifyes,provide mmplete address of residence being vaca[ed, including county: AdEr� (Nvrnber and Stree[) Ciry, Sm[e Z1PCoCe Counry YES NO ❑✓ ❑ ❑ ❑ ❑ 0 �✓ ❑✓ �✓ ❑.� ❑� 3. Homestead � 4. Solar Energy Hea[ing�igg S. Wind Powar Device�, 1 6. HydroelectPft.�e vice 7. Geo[hermal Energy�`T 8. Is this property a resid ntiAlq, \,� ZQIS �evice property? 9. Would you like to receive tax s[a(�p�CS for this property via e-mail? (Provide contact uiformation below. Please see instrucoons for more infannanon. Not availa6le in all caunties.J Zf�-i, - �I - loo 003 9 K�5 - oa! PnmvN nmoerry owner mnma name E-moil Under penal[ies of perjury, I hereby certify that [his Sales Disclosure, [o the bes[ of my knowledge and belief, is true, correc[ and complete as required by law, and is prepared in accordance wi[h IC 6-11-5.5, "Real Proper[y Sales Disdosure Act". (Note: Spouse information, Social Security and Driver's License/O[her numbers not necessary i(no Homes[ead Deduc[ion is bei le � _ �, .I��� �Jw--- X SianQ�,�`f eo(BuyeN /`� LJ �/ ) Signat ea(BUyrl�Spo¢se f���� %N XrYJ'i�41 .J�AJC/�` l� �/� 1���� 1. � � ^'i_'�–�'!� — � P�nrt �