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Homestead_Henson (2)
1 l INDIANA SALES DISCLOSURE FORM SUE ID: Page 2 j FD.PREPARER = 'o • -.`., tr .1...; . . _ =1 b LANA C. HARPER CLOSER I'repare•r n/the Sales Disdueure Form Title 5231 Oak Grove Rd., Ste. A TOTAL TITLE SERVICES, LLC Address(Number and Street) Company EVANSVILLE. IN 47715 E-mail .E.SELLER(S)fGRANTORjSJ' S -- y, ' - - . . - - _ - ' - ; , .- --- _ , Timothy Eug°ne Dunn Malynda Sue Dunn Seller l-,Vane as appears on conve.vnce document Seller 2-Name as appears an convey-mice document \ C\ % Sv. \1 C"..;\AK Address(Number and Street) Address(Nt fiber nd St 'et) r:CCCc1/4. E-mail Telephone Number E-mail Under penalties of perjuy, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an�d c` iigt ete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". j c S-s/ -/9 Lk\r-\ -v.10-� >, . tr ..� -untilurn./Seiler Signetur of Seller Timothy Eugene Dunn Malynda Sue Dunn 5-31- 19 Printed Name a(Seller Sian Date t+lst/OD/lift} Printed Nome of Seller Sian Dote Dw/DD/IYYII F I. - .• /CR/ I '-APPLICATION EORPROPERTY..TAX DEDUCTIONS-'IDENTIFYALL-ITEMS THAT APPLY. . ' " - Maverick B. Henson Bur..., -N le as • 'or I v ant ��ent Boyer 2-Nome us appears on tnnveyom�(•alxu en p / Ac �s(Number Street)/\ / Address(Number and Street) N/ lintel N y JUN 0 6 2019 OO'.State,and Clot State,and ZII'Code i 'IalCAiiillifiar Telephone Number E-mail Telephone Number 11peQ qN ((o�U NTTr�a'-moil TIIE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. ID'NTIEYAII 0 TII�.9P`YM�AYPL1: NO CONDITION I SO CONDITION ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead residence? Provide complete address of primary © 4.Sola seating/Cooling System residence, including county: �� 9Rq (, c - - Li- S.Wind Power Device �l,lr, (Vortbt'ritt IS nt) / /� / /^/- '1�, ❑ Q 6.Hydroelectric Power Device �u�''l^ �A9 /'V ��(//v/© / / �r, ❑ Q 7.Geothermal Energy Heating/Cooling Device City,St-'e Z 'Code / County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ R. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 1l B.Would you like to receive tax statements for this complete address of residence being vacated, proper[ VIAJ'-m-ni19 e contact information including county: a ow Please see instruct'onsform ' ormation. Not available in all counties.) ,IJein>s(Number and Street) At l— EX '1n)\-000 g LOT' 'r`J�`J1,— ^ Cat State ZIP Code County - - Pre tn'property owner contact em7 Email Number License/ID/Other Number