Homestead_Young (7) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
w:RREPAREa_ ' 1"� `t`n+f{ N� - ..rY t re)_li� S. . s, F ti"`.i 4' Pi `c-�- .)
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Ann Leek Escrow Officer
Preparer of the Sales Disclosure Form Title
7321 Eagle Crest Blvd, Suite A Foreman Wason Land Title, LLC
Address(Number and Street) Company
Evansville, IN 47715
City.State.and ZIP Code Telephone Number E-mail
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Sc:-sELLER(S)%GRAN.T,OR(S) {F.-__' 4 �i _ 2 { g'"r a� =F a_. �"m"r$d`_+t• ttii_.e.t :,t= p z.
Wallace Wayne Properties LC
Seller ame asa pe. o • ce doc ent Seller 2-N'nme as appears on conveyance document
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,Addy b r ap d5tr et) / J Address(Number and Street)
Ciry;
E-mail Telephone Number E-mail
Under penalties of perj I hereb certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct
a c mplete as re uir d b law and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
.4ignat re of Seller J J Signature of Seller
06/28/2019
_Printed NameofSeller Sign Date(MN/DD/Yi'YYJ Printed Name of Seller Sian Date(H.4/DD/YYYY)
F),BUYER(S)yGRANTEE S t_APPEIGATION:FORPROPBRTXITAXiDEDUCTIONS='IDENTIFY/ALL;ITEMSi. AT.AP.REY,',_- v' ]
Ericka
uyer 1-Name as appears on conveyance document Buyer 2-Name as appears an conveyance docume
'60p lialn�>� Sa
Address(Number and Street) Address(Number and Street) �j,
�k3-cancYt y�(91 ieapp
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E-mail Telephone Number Cn E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TH{cP
YES NO CONDITION I YES NO CONDITION -100
IS ❑ 1.Will this property be the buyer's primary ❑✓ 0 3. Homestead TOR
residence? Provide complete address of primary ❑ ❑✓ 4.Solar Energy Heating/Cooling System
residence,including county: ❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ ❑✓ 6. Hydroelectric Power Device
❑ ❑✓ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Cade 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 ❑ ❑✓ 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) CUZ —I a —I 2^ w y - (� 1 1
City, County, _`,State ZlP Code L^ Ova-' - 1 `l I -0(�
Primary property owner contact name E-mail
Number License/ID/Other Number