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Homestead_Sutherby
• , INDIANA SALES DISCLOSURE FORM SDF ID: Pale 2 `itiff'RI Pr1RE bri:,- '` g. - 7,2tfi ' f 6""I22 s� :..2x T• "' : ,...,,e;,-- x'e it LANA C. HARPER CLOSER l'reparerof the Sales Disclosure Form Title 5231 Oak Grove Rd., Ste.A TOTAL TITLE SERVICES, LLC Address(Number and Street) Company EVANSVILLE, IN 47715 812-468-8485 City State.and ZIP Code - Telephone Number E-mail E'SE1F13ER(S%GRi1\gift�' ,,,M 4 se. 97 "' - r xWnin - -,-- - _ < s Joshua R Kern Seller I-Name as appears on rom'nnnce document Seller 2-Name as appears on conveyance document psi 'I 2 - /&&Yf S. Address(Number and Street) •� Address(Number and Street) City State,and ZIP Code City,State,and ZIP Cade • mail Telephone Number E-mail Under penal 'es of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct }aanFsrey4d eis prepared in accordance with IC 6-1.1-S.5,"Real Property Sales Disclosure Act", S' Signature of Seller Joshua Kern ( (-3D\g • Panted Name of Seller - Sinn Date(MM/au/1'lYY( Printed Name of Seller JMM/00/1YYt7 F:Bumizil syelit1hT'EE(_MPPLIGATlO.N F,ORiPROPERIY�TAxiDEDUCTIIONSdIDEN/FlUit LL�ITEMS' iT kreAP� atigtg �, Michael Charles Sutherbv Jr Claire Michelle Sutherby Ruvril Name as appears on mnvwanre document Buyer 2-Name as appears on conveyance document OFn �" 10530 Tic • L 1 Nca Address Yumber and Street) Address(N'bmberana S[ el) ,CY Hall 3 ti d "L..J 1- 7CO39 0� ' _ 10'ii cio;.Smte,and ZIP Code ' City State,a ZI v — DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. /2, O YES NO CONDITION IYES NO CONDITION 4) U ❑ 1.Will this property be the buyer's primary - �❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 0 5.Wind Power Device , Address(Number and Street) ❑ Z 6.Hydroelectric Power Device ❑ 7.Geothermal Energy Heating/Cooling Device Litt .ate Made County ,J 0 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 ❑ 0 9.Would you like to receive tax statements for this complete address of residence bein vacated, property via e-mail?(Provide contact-information i cludir county: below.Please see instructions for more information. I073 4/ �!Near R( Not available in all counties.) Addre, ,Number and Street) / • E L9Q-► sv [ t-Lr � LF -J 7J5 14-d.3- 0/dot- coo?. a9a - oaci City,State ZIP Code County Primary pro perty owner contact name E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct