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Homestead_Murray Jr INDIANASALES DISCLOSURE FORM SDFID: Paget tbgREPAREa� f _ ;, - • - -- _;' flw -. --- .j Stacy Brown Closing Services Preparer of the Sales Disclosure Form Title 1 7820 Egle Crest Blvd Ste 201 Regional Title Services I Address(Number and Street) Company Evansville, IN 47715 (812)759-5555 closines@regionaltitlellcom City,State,and ZIP Code Telephone Number E-mail 4u Hannah M.Arnold Seller I-Name as appears on conveyance document Seller I-Name as appears on conveyance document 2343 N Tower Lane Address(Number and Street) Address(Number and Street) I Princeton,IN 47670 �_��Cd' mail G'/ Telephone Number e.S,.,4 m Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge?B rue,correct and \\complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sale-srbisy�ure Act". t�r\Y,y DY- ry,a-rlr g.) O/TOR . 5(gnatare of Seller Signature of Seller Hannah M. Arnold 39- (&' le • Printed Name of Seller Sign Date(MM/DD/YYYY] Printed Name of Seller Sign Date(MM/DD/YYYY) CEISBUY,ERISE%ANTEE(SlLtAPP.L•ICATION)EOR2P.ROPERMYJAXIDEDUGTiIONS-- IDENallEWAILflTiNSCUNAVAP.PIWT • Jesse T. Murray Jr Chandra L. Murray Buyer 1-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document 619 W Emerson Street 619 W Emerson Street Address(Number and Street) Address(Number and Street) - Princeton, IN 47630-1329 Princeton, IN 47630-1329 YES NO CONDITION YES NO CONDITION v4 ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead residence? Provide complete address of primary ❑ p 4.Solar Energy Heating/Cooling System residence,including county: ❑ 1205 S Washington Ave El 5.Wind Power Device Address(Number andSr-eet) ❑ El 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ Ei 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 8. Is this property a residential rental property? ❑ rs5L, 2. Does the buyer have a homestead in Indiana to be ❑ 0 9.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. Not available in all counties.) Address(Number and Street) t,Q 1a— Ver 103 — 0-bp • g - O R City,State ZIP Code County Primary property owner contact name E-mail