Homestead_Bickel INDIANASALES DISCLOSURE FORM SDFID: Page 2
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Stacy Brown Closing Services
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
N. iP ^. dam 1 Y^ Y
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Mary E. Faith
Seller I-Name as appears on conveyance document Seller I-Name as appears on conveyance document
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Address(Number and Street) l 1/t� Address(Number and Street)
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Telephone Number E-mill Telephone 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 complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Slgnatl#e of e1� ll�I�I'n Signature of Seller
Mary E.Faith tx)!!kk /r
Printed Name of Seller Sign to(MM/DD/YYYYI Printed Name of Seller Sign Date(MM/OD/YYYv)
WF$B6YER(S1VGWAR '01,fAPPi iG FlONiEORiRROP-ERWaTAXtDEDUCTIONS IDENUFYFALL4ITEMS THATJAP.PCY"
Jtjmes R.Bickel Hyacinth B. Bickel
Name as appears on mutt Buyer 2-Name as appa,n on conveyance document
15 2-a 1523 E Ramsey Rd.
Address(Number and Street) Address(Number and Street)
Vincennes, IN 47725
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ 0 4.Solo Citing/Cooling System
residence,including county:
1507 Hawthorne Court E l 5.Wind-Pvwct Dwi0.-
Address(Number an treat) ❑ 0 6 ydroelectric Power Device
Princeton, 47670 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device
a y State ZI code County ❑ 8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ H 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
. lease-see-inststionsfor more information.
including county: Not available in all count.-
Address(Number and Street) 26-12-06-401-003 . 972-028
City,State ZIP Code County roperty owner contact name )
E-mail