Homestead_Johnson (15) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Stacy Brown Closing Services
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville,IN 47715 (
Kelly L. Sparks
Seller 1-Name as appears on conveyance document Seller I-Name as appears on conveyance document
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Address(Number and Street) / Address(Number and Street)
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Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comp a as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of n Signature of Seller
Kelly L. p rks ✓ �og��
Printed Name of Seller SI Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YY1Y)
Fin it iiii V*IiRI?IB;4mI0N BORIPRbPER lati tibEDUClfIaleet DQN:111M21YalkgairaSRfAIFPliY .
inoke N.Johnson Joshua E.Johnson
Buyer -Na r. veya document Buyer 2-Name as appears on conveyance document
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ress um 'an treet ress(Number and Street)
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THESALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY-1DBNT{PY-ALL-0RTl OOssE T\HATAPPLY.
Y ES NO CONDITIONE5 NO CONDITION
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0 1.Will this property be the buyer's primary /Y
( ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of prima rd 111___0_- 1Energy Heating/Cooling System
residence,including county: ❑ Q S.Wind Power Device
708 E Park Street
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device
Fo Branch,IN 47648 Gibson ❑ Q �.Geothermal Energy Heating/Cooling Device