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Homestead_Barker (2) INDIANA SALES DISCLOSURE FORM SDFID: Paget k PaPAREle+ a - ;ass.ear I-. 'I'--'''''t — - — — -a Tiffany Hoon Closer Preparerof the Sales Disclosure Farm Tide 7820 Eagle Crest Blvd Ste 201 Regional Title Services Address(Number and Sired° Company Evansville,IN 47715 ( a..a`rxE" F g rt SYstmsrsssa.a� ' _` . r -...' - ��=e- -c, .3;�: � r- v=� e .�s,.�., _-ART-VS-� ;.:. �,�`=•-.ii� `�`-' Randall W. Duncan Kimberly S. Duncan Seger I-Name as appears on conveyance document Seller I-Name as appears on conveyance document 777 S 830 W 777 S 830 W Address(Number and Street) Address(Number and Street) Princeton,IN 47670 Princeton, IN 47670 Under penalties of perjury,I hereby certify that this Sales Disclosure,to a best of my knowledge and belief,is true,correct an o plete re rRd by/law, in accordance withI 6-1.1-5.5 "R 1 roperty Sales Disclosure Act". ignature of Seller n S tore of Seller Randall W. Duncan �j 00/9 Kimberly S. u an °bet? 9/9 Printed Name of Seller S n Date(MM/DD/YYI-Y) Printed Name of Seller Sign tel M/DD/YIYY1 baEtti, • KS + . EEISIP APBI IGIATIONiFORTPRORERIIIYa'PAXfDEDUCTIONSISIDEN711RWALlfi1'IiSiviSbPHA'TrAP.P.LY N ' dam L.Barker B 1-Nam conveyance document Buyer 2-Name asoppears on conveyance document 4 alem Drive FILED Address(Number and Street) Address(Number and Street) Newburgh,IN 47630 Jun 18 2019 Telephone Number GIBSON COUNTY AUDITOR CB E-mall THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFYALL OF THOSE THAT APPLY. YES NO CONDITION NO CONDITION 0 1.Will this property be the buyer's primary [✓� ❑ 3.Homestead residence? Provide complete address of primary gi m . e = : Heating/Cooling System residence,including county: ❑ 0 5.Wind Power Device 3869W75S Address(Number and Street) 0 0 6.Hydroelectric Power Device Princeton,IN 47670 Gibson ❑ 0 A.Geothermal Energy Heating/Cooling Device dCity State ZIP Code • County ❑ [v�8.is this property a residential rental property? ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 9.Would you like to receive tax statements for this vacated for this residence? If yes,provide complete address of residence being vacated, property via e-mail?(Provide contact information below.Please see i ore information i cluding county: '1785 Ur. Not avail in all counties.) Add (N umber and Street) 3 BarkeAdam 26-11-16-200-001. 099-027\ /l/±A.JhAIQ)l,-fir �`ffi:� 1'!�f/'rCK Ad L aty,State ZIP Coke County Primary property own nwct name E-/4 Number License/ID/Other Number