Homestead_Jones (4) INDIANA SALES DISCLOSURE FORM SDF ID Paget
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Deena Hendrickson Closing Services
Preparerof the Sales Disclosure Fonn Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville,IN 47715 (812)759-5555 closines(rt�reeionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
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Joel M.Chaplin Stacia L.Chaplin
Seller]-Name as appears on conveyance document Seller I-Name as appears on conveyance docume
409 Bradley Drive 409 Bradley Drive A 10\%
Address(Number and Street) Address(Nimr6erand Street)
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li Haubstadt,IN 47639 Haubstadt,IN 47639 tOF
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Under penalties of perjury,I hereby certify that this Sales Disclosure,to the he of my know ge anh'belief,is true,correct
and c jplleeJtt as re red by law,and is prepared in accordance++� -1.1- 5,"Rea operty Sales Disclosure Act".
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Joel M.Chaplin . ! i V Stacia L. aplin „- ' %
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Printed Name of Seller !' Sign afre ut/Do/Yrvs7 Printed Name of Seller /" st • .epw
inBUYER(S] GRANTEE(SILWAPP.liICATIOIV:FOSt-P OP6R+RY'TrVCsDEDIIC5TI0'-15Ss ODE'tJifIPYTAWiITEIv1STHAT.AAP.bY "1
' Ashley J. Jones Ryan W.Jones
Buyer 1-Nameasappears on conveyance document Buyer 2-Name as appears on conveyance document
312E780S 312E780S
Address(Number and Street.) Address(Number and Street)
Ft Branch,IN 47648 Ft Branch,IN 476/4 8
THE DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YFS NO CONDITION YES NO CONDITION
(Q 1.Will this property be the buyer's primary D 3.Homestead
- residence? Provide complete address of primary ❑ p 4:Solar Energy Heating/Cooling System
residence,including county: ❑ 0 5.Wind Power Device
409 S Bradley Drive ❑ Q -Hydroelectric Power Device
Address(Num and Street)
Haubstack, IN 47639 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device
CIO',State fPeade County ❑ 8.Is this property a residential rental property?
{ 2.Does the buyer have a homestead in Indiana to be ❑ El 9.Would you like to receive tax statements for this
��JJ vacated for this residence provide property via e-mail?(Provide contact information
complete address of resides ncece being vacated, below.Please see instructions for more information.
including county: Not ailable in all counties
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Address(Number and Street) •
Ashley J.Jones Ryan W.Jones
City,State ZIP Code County Primary property mvner 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
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