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15 �`s Art SALES DISCLOSURE FORM_ SDFID
cEBARERF° Page 2
Laura Closer
Preparer of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
MNEI
Scott A.Burr Tandy Y. Bun
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
9621 W 575 S 9621 W 575 S
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665 Owensville,IN 47665
Arose,
Email
Under p alties of perjury,I hereby certify that this Sales Disclosur ,to the best of my knowledge and belief,is true,correct
and co lete as r it y law,and is prepared in accordance IC .1-5.5," al Property Sales Discb s e Art�i
gnature of Seller Signature o eller I I
Cott A.Burr OS103119 Tandy Y. Burr 0S/o 3//�
Printed Name of Seller Sign ate( /$D/YYY1) Printed Name of Seller Sign"��te MM 2
( / /YYYY)
A YER'(Sl'LBRANTEETWAPP.LICAT[ONE.ORIPROEERT-YaTAZDEDUCTIONS',5115ENTIFYAIIRITEMSTHATAEELY '. >R
WS
thy B.McDonald
C-Name as appears on convesteacument Buyer 2-Name as appears on conveyance document
1000 Red Bnck Cf.
Address(Number and Street) Address(Number and Street)
Evansville,IN 47720
E- all Telephone Number FILED
E-rna„
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.Mayd 06�201��9�
YES NO CONDITION NO CONDITION sJ(,�„ y�
[ ] 1.Will this property be the buyer's primary (❑ 3.Homestead •-•% IBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ .a 4.Solar Energylieating/Cooling System
residence,including county:
9621 W 575 S [� El S.Wind-Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Owensville, t .47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP C a County
❑ 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 0 H 9.Would you like to receive tax statements for this
property via e- f
' , vide contact information
complete address of residence being vacated,
including county: below.Please see instructions ore information.
26-17-09N L616'1aa5 '°gPYn- 2).
Address(Number and Street)
Timothy Q i lannald
City,State ZIP Code County Prima name E-mall
Number License/ID/Other Number