Homestead_Rhoderick INDIANA SALES DISCLOSURE FORM SDP ID: Page 2
D:'PREI;ARER, _ 1- � 1P f ._ ' :,-1, _-_ _ - ' . - C ,. .- . _- .
Allie Alexander Processor
Preparer of the Sala Disclosure Form Tide
2301 N. Burkhardt Road First Advantage Title
Address(Number and Street) Company
Evansville. IN 47715 (812)490-8485
City,State,and ZIP Code I Telephone Number I E-mail
Ei SEL'L TZIW,GRANrTOR(5) .4. a 1 ': sS _t:_- it-I- - •. .... • ._ ____- .-J z_-__
Midwest Develooment Inc
Seller I-Name as appears on cony yanm document Seller 2-Nome as appears on conveyance document
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Address(Number and Street Addre>s(Number and Street)
9 r. ' h /� I Oh / z,t/ I
City,State,and ZIP Code City,Stole,and ZIP Code
rNumher Email
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".
urea Seller / / Signature of Seller
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Printed Name of Seller Sianbbbate lH3///MD/ITrn Printed Name of Sellers Oote(Mw/DORM)
TF - , iS)W*A1i E(S)I„•AP,RE ATIONjFOR:P-ROPERTYrTA ,DEDUCTIONS= IDENTIFY F1CUFITEt< 0,NAT7 , g},-,�:''.`� K= ;j
Emily Rhoderick Na r
Buyer l-I' s^•• a coil r eq document �-i Buyer 2-None us appear-nn conveyer document`
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Address in her and Street) Address(•Pourher and Street) C
r nGel
Email Telephone Number R E-mail
THE SAL' DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TII IS P . DENTI ISE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
J ❑ 1.Will this property be the buyer's primary i ❑ 3.Homestead
residence? Provide complete address of primary ❑✓ anergy I eating/Cooling System
rtsiden e, including county;
(it Mein 0-et 61- ❑ ❑✓ 5.Wind Power Device
Iddr (Number and S)e_t) ❑ Q 6. Hydroelectric Power Device
/nCt/wo / LN 47(P 70 ❑ 0 7. Geothermal Energy Ileating/Cooling Device
Crty,State ZIPCoIe Cnuntr
❑ ❑ 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 M 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide con ma information
including county: below. Ple hi r ".,r ' Dr more information.
not available in all counties.)
Addro.(Number and Street)
City,State ZIP Code coon:).
I. ,ny prriperty owner rontnvtuume E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my not. ' ,is true,correct
NUIll is L,ctrse/1 Well ber Number