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Homestead_Greentree {{�IND��ILLAAs�N{y.gAyyS��Ay�LES DISCLOSURE FORM SDF ID: Page 2 trr©v';Jglit2:ttRt -L Rk _cw `-_..Sit.fse i':!.:l2'----' t-ti*•,r1,* �i:C:e:t.-ate .' ?.c ....is'00i _ CHRISTINA LATHAM TITLE CLERK Preparer of the Safes Disclosure Form me 4703 THEATER DRIVE REGIONAL LAND TITLE Address(Number and Street) Company EVANSVILLE, IN 47715 812-402-4553 CHRISTINA@REGIONAL-LT.COM Ciry,State,and ZIP Code I Telephone Number E:moll IEZSELL:6RIS..L-GRANTORS)e:64 1131S Y .e ,-rAIkk.f-?3. 1,'y=`X hY:" .:ra2.'w it t`A TiPN itarK,rWK?' 'aje `title. -•I t " 'Jeremy K. Bigham ' SemiNagle aso peon conveyance document Seller l-Name as appears on conveyance document X. 5c- Address(Number and��rr�/7 Address(Number and Street) X PnACd ' 1 ,. U767P E-mail Telephone Number E-mail Under penalties of perjury, hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and corn n lete as q re y law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". X /5:,� Sig` f �y q �j Signature of Seller - Jeremy K.B . am i Li in ' Printed Name• Seller t•nbate(MM rD Printed Marne Seller Sian Date AM ,oman Rio liciti r= 1 'si,tit ce lid 'i i li >^(r,e t r+ l" 11�;liV4 4 t ✓ . :? _. .. � ��fi�!�'s?�M.L�YY .� Af s �6,-'y.'J,ti:��1 ,.�.�.{•- Neal J.Greentree I-Name as appears on conveyance document Byer-Name as appears on conveyance document FILED X 1''N,.1d),A �lt�Ci_. X4lddress(Number and Street) Address(Number and Street) Feb 13 2019 YK lc\-Tnickyria LI76 2() 2 E-mall Telephone Number E-mall THE SALES CLOSURE FORM MAY BE USED TO APPLY POR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OFTIIOSE THAT APPLY. YES NO CONDITION YES CONDITION 0 1.Will this property be the buyer's primary © 3.Homestead residence? Provide complete address of primary ❑ B 4.Solar Energy Heating/Cooling System residence,including county:825 S Race St. ❑ ❑ 5.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Princeton, IN,47670 Gibson ❑ ❑ 7.Geothermal Energy Heating/Cooling Device City,StateZiP Code Coan e ❑ ElB Is this property a residential rental property? L ❑ ❑ 2.Does the buyer have a homestead in Indiana to be vacated for this residence? If yes,provide ❑ ❑✓ 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) 26-12-18-201-003 . 362-028 City,State ZIP Code County Primary property owner contact name E-mall Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct Number License/ID/Other Number