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Homestead_Gray (2)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Allie Alexander Processor Preparer of the Sales Disclosure Form Title 2301 N. Burkhardt Road First Advantage Title Address(Number and Street) Company Evansville, IN 47715 (812)490-8485 City,State,and ZIP Code Telephone Number E-mail - 'E..SELL'ER(S)%GRANTOR_(S)i_- _..., . a _ -_. 'r ._.. ._. .�_7r�.�_ . -.1 - --�-:.,-.�. _;..t,... -�:-<-` -s s;__^ ._7 .<: Gibson County Holdings I LC Seller'-Name as appears on conveyance document Seller 2-Name as appears on conveyance document ?o • &)/w/ A ss(Number and i treet) Address(Number and Street) I-I n cc-J /1 - 47476 this Sales Disclosure,to the best of my knowledge and lief,is true,correct and c pl to sredblaw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sal >i sure Act". Signature of Seller /9 Signature ofSeller F�' Mark S Isaacs Member /.2�r'�!v ue Printed Name of Seller Sian Date(A.N/DD/YYYY) Printed Name of Seller n Date D 4:F•IBUYER(S)/CRANTEES APP.LICATIONIF0R!PROPERTYFAXDEDUCTIONS 3IDE NTIFYAlL _ TAP,PL SZe ` ._._. m•_1 rion Gray Stephaniemav Buyer ppeaprn rQveyoncedocuLy Buyer2- ame as appears an conveyance dacum -v'R/020 /l�/tl /� /// � Add Aupber and Stieet)) Address� nd t % j0/t.OR City,State,and ZIP Code City,State,and ZIP Code_ E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES CO CONDITION YES NO CONDITION ❑ 1.Will this property be the buyer's primary D 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System (5— �// giide c ,i d< unty: 1( ❑ ❑✓ 5.Wind Power Device Add.e�WitmAen,p� t) n t _. ) - ❑ Q 6.Hydroelectric Power Device "'''"""����rr((((( (( CC �I'(/ COI-( ❑ ❑ 7.Geothermal Energy Heating/Cooling Device 0 City,State ZIP Code County ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ RI 8. Is this property a residential rental property? vacated for this residence? If yes,provide 0 O 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(Number and Street) city.suite ZIP Code G-/a-a ?- 303 - Doo2. 3/9- oat County Primary property owner contact name E-mail ■ l a c-1 g