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Homestead_Wolf INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 Lynette Murray Processor Preparer of the Soles Disclosure Form Title 2301 N Burkhardt Rd First Advantage Title Address(Number and Street) Company Evansville. IN 47715 7E:SELEER(SyGRi\NTORfg,�- i ..`r a>.. 3 .71.1. ?-: 4 -7. '_ t . , �- -Lta ..3 x; ; ,) ,g t- i•4 - -i David Fithian .SSellejrII-N Name as appears on conveyancet/ documentcuW� Seller 2•Name as appears on conveyance document y C (t/ _J c7 . b o Address(Number and Street) �� �_- Address(Number and Street) 1 o ricV L 2-1- 7/3 � 7 City,State,and ZIP Code - City,State,and ZIP Code E-mail Telephone Number E-mail Under penalties,of per uryreby, certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as re tired 6yiatkand-is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". . ignature of Seller Signature of Seller David Fithia Printed Nome of Seller Sian to(AI5 DD/Ilnt Printed Name of Seller Sian Dote(.NA/00/1'YYIt F:BUYERQ/GRANTEE(S) -APPLICATION.FOR PROPERTYr1 TX TIIE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FORT HIS PROPE TY. IDENTIFY ALL OF THOSE TILI'rg1�Cf!I d A'LN HI0 NOSsio YES NO CONDITION ) YES NO CONDITION Li ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead I! residence? Provide complete address of primary ❑ © 4.Solar Energy Beating/CS)OIIggygtct6miav cR r t enc lclutling csniy: /„ mai R U/ ❑ Q S.Wind Power Device ndt, arI ane�s_tre_a/) / /� 'l ❑ Q 6. Hydroelectric Powe I e Q I�r (�l-�'J l �,N Y. //�(i!/ ❑ ❑j 7. Geothermal Energy. iii ooli Leyte City Stare ZIP Code ` County ❑ ❑ 2. Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental property? vacated for this residence? If yes, provide ❑ 2 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.) .l,h,rees(Number and Street) y City State ZIPCoe County �� -I ' I -Id4-�00• INS-� Primary property owner contact name Email