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Homestead_Bright
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 rD:PREP.Aketz __'~' '.`x` N . _ !FY.:. " d...P; : i'"' a >..c i- $it:I.T i:.4, :•:37 .? r a^ :.-z'-=_, I Dana Belcher Processor Preparer of the Sales Disclosure Form Title 2301 N. Burkhardt Road First Advantage Title Address(Number and Street) Company - I Evansville. IN 47715 ( E-mail 'E SE LER(SI%GRi1NTOR[S).".:t `..'.i .`. _r:vr,3f..Ft:1711:W3'',.,.�. r`. a .`",``'"r:7._? -.r' '(.� +:;rf'j . . , ,lizi.c.s`92;zff Conni°Casey Seller I•Name as appears on conveyance document Seller 2-Name as appears on conveyance document 1 26 1 E ILi o 1T flue. Address(Number and Street) Address(Number and Street) "Ci EP muscle S% 3 ) RL 35(9L0I City, 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". C .SD Signature of Seller (\ Signature of Seller Connie as Cev � - - Ol Printed Neer Sian Dale NM DO inPrinted Name of Seller Sian Date(M.M/DD/YY1 Et KER 7. NTEE(S)°,=APP:LIGAT(l)N; OR'PROP.ER_If; X<DEDUGT ION SELiDENT;IFYALLrIT ii., TA. AP ` '-j r. - ! any R. Bright -- d.e Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document I1dd S. Naga Si' MAY 06 2019 ddress(Number and Street) Address(Number and Street) OAY_IAn Itty , I y"I160 TO APPLY FOR CERTAIN DEDUCTIONS FO . HAT APPLY. YES NO CONDITION YB—F,6NDITION [ ❑ 1.Will this property be the buyer's prima ❑ 3.Homestead residence? Provide complete address primary ❑ © 4.Solar Energy Heat. ooling System residence, including county: r. nc s. Main S-hn-I- ✓ wer Device Address(Nsrmber and Street( . LI El 6.Hydroelectric Power Device O%'1rl/ 'i GI,/ INJ 41160 (ti bSOO ❑ E 7.Geothermal Energy Heating/Cooling Device City;State ZIP Code County ❑ Elf 2.Does the buyer have a homestead in Indiana to be ❑ ❑ B.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 a-mal . tact information including county: ew. ease see ins .easje�w motion. Not available in all counties.) Address(Number and Street) Q City,state ZIP Code County Primary ly -. 1f . - 001 -3" LI -007 Primary property owner contact name E-mail Number License/ID/Other Number