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Homestead_DeLong (5) r I INDIANA SALES DISCLOSURE FORM SDF ID: Page t j D}PRE PARE Rf _r-'::E.-. . n .'. . .s'::.-_ '. •Ed,-_ gRairi.:: . -aiM-- ' ` ?`, ;t` i Leisa Billings Processor Preparer of the-Sales Disclosure Form Title 530 Frederica Street Foreman Watson Land Title Address(Number and Street) Company Owensboro KY 42301 I Cry.State,and ZIP lode I Telephone Number E-mail E:SELLER(S)JGRANTOR(S) , ham -1,=..E '^` -= 3 Ct -;r;`.:p;=ra;' <-c_e_,z 'r"at7 - ;; Frederick A Schleter 5/4/8-I Nome,is appear a on document Seller 2-Name as appears on conveyance document t/t/c4 vierZ5a 1 /1 i I I i ��� Address(Number and Street) \\\CCity,State,aanndd ZIP Codee/�,.' Telephone Number Email Under penalti s o perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and c plelte s quired •law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Srule gather / � Signature of Seller Frederick A Schleter 3 `t ) i q Printed Name of Seller SignEl to(M./DD/YYII) Printed Name of Seller Stan Dote(MM/DD/rrrr) =F BUYER(S)%GRANTEE(S) APP IOATIONFORPROP:ERTY_TAKDEDUCTIONS'IDENTIFYAL S' HA ; t ," ?g_' }i Russel K. DeLong r . i I i Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 207 W.Vine St MAR 1 8 2019 Address(Number and Street) Address(Number and Street) Fort Branch, IN 47648 City;State,and ZIP Code City,State,and ZIP Code ratesa COUNTY D Telephone Number E-mail Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CO.NDmON (T ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ 0 2. Does the buyer have a homestead in Indiana to be El ❑ 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) Address(Number and Street) 46—( g- )3 do Li- boo,S54- OZ4 Cm•,State ZIP Code Count'/ Primary property owner contact name E-mail 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 r _ - __ - ._ _. _..... . _..__.__._._.._..______