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Homestead_Clay INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 4D.I'REPARER - LANA C. HARPER CLOSER I'reporer nfthe Sales Disdmure Tnnn Title 5231 Oak Grove Rd.. Ste-A TOTAL TITLE SERVICES. LLC Addres's(Number and Street) Company EVANSVILLE. IN 47715 812-468-8485 Cite State,and ZIPCode Telephone Number Eurrail i E.SEIII:ER(SGRANToit(s1 - . __ .. . M sty_I ewis Seller l.None as appears one 7evunre document Seller 2-Name its appears on(onrev,mm document I 1rl E - -Le S -Lea- a, (Number and Street) Address INtunher and Street) penalties of perjury, I hereby certify that this Sales Disclosure,to the b ofvpk o%41e'2 ee and belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1 "Gal�`ft�rt 'S Di\��t$sure Act". s-L-_D k� nJ Mmame El Seller Signature ofSeller ���t,`2 Mistylewic i DN- - �` ';-,J�' Printed Name a'Seller F.HUYIR(S)/GRANTEE(S)-APPLICATION FOR PR01'F I2TY'I A*DEDUCTIONS�IDENTIFY ALL T {`S TIIAT,AI'PLY-s. Dateian ru t..4.i ' C, - Gennifer M. Clay Bueer I-Nome us appear-t�at,unve,'ant document Buyer 2-Nome or appeure on conveyance document -_ oaf N r PrrhS r.r,lres(Number and Street) Address 1 Ntunber and Street) 1ni getr2e T"t 471e1c2 THE SALES DISCLOSURE FORM MAY BE IISEII TO APPLY FOR CERTAIN DEIIUCr1ONS FOR TII IS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. iYES NO CONDITION I YESO CONDITION ❑ I.Will this property be the buyer's primary [0 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ ❑✓ S.wind Power Device Addrns(Number and Street) ❑ Q 6.Hydroelectric Power Device - ❑ 10 7.Geothermal Energy Heating/Cooling Device cite pate 7ll'r'de Cmuar ❑ 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 being vacated, property via e-mail?(Provide contact information including county: below. Please see instructions for more information. Not available in all counties.) Addns.(Number and Street) O— a—01 '--,Di A _ c t -Pa q-eaS, oh•,pate ZIP Cade (.'aunty \_-1 Primary