Homestead_Mason INDIANA SALES DISCLOSURE FORM SDF ID: Paul
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jynette Murray Processor
Preparer of the Sales Disclosure Farm Title
2301 N Burkhardt Rd First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715
LE(SETLER('STAIT1NT-iTig _ s . _ 7 w- :c r 7 .-r^t - r.._:1
Christie Denriest
Seller I.Name as appears an conveyance document Seller 2-Name as appears on conveyance document
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Address(Number and Street) Address(Number and Street)
Mtaisocio;tter (LY Li v-i3I
Ciryi State,and ZIP Code City,State,and ZIP Code
-
E-mail Telephone Number E-mail
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".
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...ynature of Seller Signature of Seller
fhristie Depriest 3 -i S-- %4
Printed Nome ofSeller Sian Dote(MM/DD/IYYY) Printed Name of Seller
Sian Date(HM/ODYW)
LEt4: _ EA rATIONpF,ORt PRO$ERY�TdDEDUCTIONS�IDENTIF�Y"�tiLthTEtiS� H1TAPPl1 '`• ' . -' :-.77
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Crystal G Mason
Buy rl Name pears eyancedocu nt Buyer 2-Name as appears on conve�wq• It ED
.rt� V6tlIF'°- tgt�yl.
Ad (Number and reet) r if �O Address(Number and Street)
� `
lity;State,and
E-mail Telephone"' .. er E-mail
THE SALES ISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS P ARTY. IDENTIFY ALL OF THOSE T
YES NO CONDITION ES NO CONDITION GIBBON CO TV AUDITOR
❑ 1.Will this property be the buyer's primary [�❑ 3. Homestead
residence? Provide complete address of primary oling System
re once,I�1y Judi co�nl r -
// /r/ 3s (�f e_ / l 7� ❑ ❑✓ S.Wind Power Device
•AddreenbergdStreet) VI �- (/7/ ( /d4— ❑ ❑✓ 6. Hydroelectric Power Device
1 b
( ❑ 0 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code Coo MY
❑ ❑ 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 ❑ Vj 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:
v. Please see instruct' more information.
Not available in all counties.)
Address(Number and Street) Clrelq
e� — 02C
lit - 103 -0o1.21SCity,Smte ZlP Cole County
property owner contact name E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure, n n reef
Number License/ID/Other Number