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Homestead_Gehl
INDIANA SALES DISCLOSURE FORM SDI;ID: Page 2 rD:PREPARER '_" ,;N a t' --?n"d; ;;: ': LANA C. HARPER CLOSER Preparer of the Sales Disclosure Form Title 5231 Oak Grove Rd.. Ste.A TOTAL TITLE SERVICES, LLC Address(Number and Street) Company EVANSVILLE, IN 47715 E-mail E SELEER(S)'/GRANTOR(S),. _ . _ __. _, .._. , _- > . :. — __ r < =•L-"`r. .--,.1.&`- 7:> Ir;.``.— H°ather Mundy f/k/a Heather Murohree Sa•• I-Name as appears on con vevance document Seller 2.Name as appears on conveyance document ao4 2 St 3 I,m' (Numb ran Street) Address(Number and Street) rincdz _zAj zf767o "' E-mail Telephone Number E-mail Un(1 r penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct ( c n eye wired by law, nd is repay i accord nee with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". 'al (t re it Signature of Seller I G Signature of Seller Heat e a e : Mumhree 0-7- 1 ) anted Name of Seller Sian,,. M/aa/YI're) Printed Name of Seller Sian Date 0.01/00/YYYI'l F,';BUYR(S)/GRANTEE(S1,-APPLICATION7FOR'P,ROPERT�l,FA DE UCTIONSrIDENTIh,LEITJ;MS- AT-t�AP (;Y _ t ,",,- TiffanyA. Gehl t1 t�1( 11' 1pSlll — Boyerl-Namsas appr p on core dot ent ,t I Barer 2-A'ame as appears con nrmeat pt" ! 1 /1 1 - I _ /^ r , / 7�7� Address(Number and Street) ��N 13 2p19 ..-- City. Qmm.' .R \felrphone.... E-mail Telephone Number Put,-. CQU fl 1ur)t E-mail THE SALES DISCLOSURE FORM,TAY aeUSED TB-Rt'PttFORCERTA IN DEDUCTIONS FO HIS PROPERTY. IDENTIFY ALGArEHOOSE THAT APPLY, `YFS NO CONDITION I YES NO CONDITION ,( ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead f residence? Provide complete address of prima y ❑ © 4.Solar Energy Heating/Cooling System I0 3 rpldel dud/IICO nth O ❑ S.Wind Power Device a,� f ltvum rrrand;neet) ,i/�l/N!2T)O'V �,/ / ❑ Q 6. Hydroelectric Power Device 7-' !O (� U ❑ VI 7.Geothermal Energy Heating/Cooling Device city,S;re IP'Cade Co no' { ❑ JXf 2. Does the buyer have a homestead in Indiana to be ❑ ❑� B, Is this property a residential rental property? r l� vacated for this residence? If yes,provide ❑ GI 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.) Address(Number and Street) a- e 8. �.3-002,list - eD7.'r City,State ZIP Code County • Pr cry property owner contact name E-mail Number License/ID/Other Number