Homestead_Humbers ,
INDIANA SALES DISCLOSURE FORM SDF ID: Pale 2
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
City,State,and ZIP Code Telephone Number E-mail
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Darrell R.Richardson Rebecca F. Richardson
PSeller 1-Name as appears on conveyance tcument . .... 1-" Seller 2-Name as appears on conveyance document
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Address(Number and'Street) Address(Number and Street).. /
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E-mail 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
a I complete as required by I.w,and•. prepared in acc s rdance wit C 6- .1-5.5,"Real P operty Sales Disclosure Act".
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Signature of Seller Signature of Seller
A,20 9Rebecca E. Richardson 709-c20 .
[ Printed Name ofSeller Sign Date m DD Printed Name of Seller Sign Da e(MM/,D/YYYY)
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Brandy Numbers
u r -Name n conveyangitinent Buyer 2-Name as appears on conveyance document
flpress(Number and Street) I Address(Number and Street) F.I-LEI
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E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PRO . IDENTIFY ALL OF SE THAT Alm:4_
YES NO CONDITION ES- NO CONDITION
GIBSON COUNTY AUL)!1 OR
2 111 1.Will this property be the buyer's primary 0 3.Homestead
residence? Provide complete address of primary 274.solar Energy Heating/Cooling System
exesidence,inclucXiyg county:
80)'7 500 0 0 5.Wind Power Device
_Arldress(Numker and Street)t m LI-Rot./9 E z 6.Hydroelectric Power Device
Prail a Sr0 1 0 Z 7.Geothermal Energy Heating/Cooling Device
• City,St,.-ZIP Code County
E Z 8.Is this property a residential rental property?
0 12 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 Z 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: e ow.Please see7 srrricties or more information.
Not available in all counties.)
Address(Number and Street)
Ltoo—oo3 . 33131 —013-
: City,State ZIP Code County
Primary property owner contact name E-mail
Number License/ID/Other Number