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INDIANA SALES DISCLOSURE FORM SDFID: Paget
` P,REIIARER) '.r ,.; . _ 1-_„ar-g- - -. ,,.4,- 5,5 - -r-.:Via:,- z ..: :x=nt,
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Deena Hendrickson Closing Services
• Preparer of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 (812)759-5555 closines(alreoionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
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Ryan W.Jones - Ashley J.Jones -
Seller 1-Name as appears on conveyance document Seller 1-Nome as appears on conveyance document
312E780S 312E780S
Address(Number and Street) Address(Number and Street)
Ft Branch, IN 47648 Ft Branch, IN 47648
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Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co lete ak,re 'red aw,and is prepared in accordance with IC 6 1.1 5 5 "Real Property Sales Disclosure Act".
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Ag e of5eller �'ignature of5ellerf
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Printed Name of Seller (go Da (MM/DD/YYYI) I Printed Name of Seller Sign Da',e(MM/DD/YYYY)
.9BUYER(S)/GRANTEE(S)_ARRL CATIONIEOR PROPER taiFAX DEDUCTIONS_ DENtTiIEY AL'L9ITEMS4Tili
Joshua Nurrenbem Melissa Michel Y
Buyer l-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document &
2070 E Presley Dr 2070 E Presley Dr -
Address(Number and Street) Address(Number and Streat)
Haubstadt, IN 47639 Haubstadt, IN 47639 ' Z0/8
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. vtlT
SCL OR
6NO CONDITION YES NO CONDITION
-, 1 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary ❑ El 4.Solar Energy Heating/Cooling System
residence,including county: ❑ El S.Wind Power Device
312E780S
Address(Number and Sweet) ❑ EI 6.Hydroelectric Power Device
Fort Branch, IN 47648 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device
Clty,S to P Code County
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❑ 8. Is this property a residential rental property.
2.Does the buyer have a homestead in Indiana to be DI El g,Would you like to receive tax statements for this
vacated for this residence? If yes,provide
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
� 1 lq_ C{
Not available in all counties.)
Address(Number and Street) ! ' - lot -vol.2_- 7 -o-lh.
Joshua Nurrenbern Melissa Michel
Qty.State ZIP Code County Primary property owner contact name E-mail