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Closer
Preparer of the Sales D" °sure Form Title
7820 Engle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
L^��,' 4 .o4n'zGi38N:.s�'hdtEC"`.:nlitft $+ "-_.f-argi-,�f•+PaE'-��'i�'..f 3S%;'ifaa�ti+-]B Wg_rdE i ^�']"_ a! • Ems.^:r
Estate of Rodney D. Whitehead
Seller I-Name as appears on conveyance document
653 R'Graham Rd Seller -Name as appears on conveyance document
Address(Number and Street) Address(Number and S t)
Washington, IN 47501
gang Una Zia tine •
Ste h11 ii�4 1V74 ntGonuttr ale
Telephone Number 9'I E-m ldl
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".
-1\ a
'Signature of Seller Signature of Seller
Estate of Rodney D Whitehead by Heather Faith,Personal Rep 6 '1 ci
Printed Name of Seller Sign Date(MM/DD/rini Printed Name of Seller
T.
R(Sl% `TEE{5���°--sAPPI1iGATION:FOR'aP.RORERT7aTA XfDEDUCT ...........................................................Sign
Date(MM/pp/rvvvl
IONS.Alle\`TIF1dALL�ITEMSzTHATeAP.PL'Y�4n�' ]� �
John G.Alle J Billie D. Allen
n conveyance document Buy' 7,7Pome as appears an cony
8200 Newburgh Rd eyanre document
Address(Number and Street) 8200 Newburgh Rd
Evansville,EN 47715 Address e and Street)
Evansville, IN 47715
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PRO . DENTIFYALL OF THOSE PLY. �f�
YES '0 CONDITIONisa NO coNDn70N
D 1.Will this property be the buyer's primary YES ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary i
residence,including county: ar nergy Heating/Cooling System
5311 E 1150 S ❑ El 5.Wind Power Device
Address(Number and Street) ❑ El 6.Hydroelectric Power Device
Haub dt, IN 47639 Gibson
oty, te ZIP Code /
ata
County ❑ 7.Geothermal Energy Heating/Cooling Device
�'
0 2.Does the buyer have a-homestead in Indiana to be ❑ 8.Is this property a residential rental property?
0 a 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide
complete address of residence being vacated, off rty via e-ma ontact information
(y� V/tt includi"ng Mcoun below.Please see instructions form 'nformation
b I� b N@lu y Not available in all counties.)
Address(Number and Str 4 26-23-12-402-001. 120-024 -
`I "41 N John G. Allen Billie D.Allen /{A
ry,State ZIP Code / (�
County mazy property owner conwa name E-mail