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Homestead_Harris
INDIANA SALES DISCLOSURE FORM SDF ID: • Donna Zehner Processor Preparer of the Sales Disclosure Form Title 2301 N Burkhardt Rd First Advantage Title Address(Number and Street) Company Evansville, IN 47715 SEA SELL ER(S)/ORANir.6R(S). , .s . „ , __ .�_.� _ ., _. .:4 ..... ., .. . !..€'i. Margaret Ann Smith - • Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document `q�)ess(Number and Street) Address(Number and Street) City, 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 and complete as required by 1 w,and is pre red in a ordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ..444(/ ��%% �z�� 7I Si r fSelle Signature of Seller Margaret nn Smith /-z /3 /l Printed Name o Seller Sig Date( /DD/YYYv) Printed Name of Seller 1� Sign Date(MM/DD/YYYY) F I3UYERr(S)/G`I2ANTEE(S) APPI?,IGATl,ONt,F®RPROPER1WTAXD`.EI),UCTJ®NS..,IDENTIFYtALLlit + T A �A°P.PLY "`+.:4i ', Heath R Harris Buyer 1-Name as a pears on conveyance document Buyer 2-Name as appears on conveyance document ' Address(Ni, her and Street) Address(Number and Street) 6a 20 (Nu iliN) L 7UIr7O G/Q 44 20 City,State, CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY:O/TOR YES NO CONDITION YES 0 CONDITION El1.Will this property be the buyer's primary Q'❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: 41'15 S 0-et-r +��,�A1 Or,, ❑ ❑✓ 5.Wind Power Device Address(Number and Street) ��1JC i,�—7 �`�� ❑ 6.Hydroelectric Power;Device —�rM,t�' rk�-1 !U� 1 to . ❑ z 7.Geothermal Energy Heating/Cooling Device City,State ZIP,/Code County ❑ L� 2.Does the buyer have a homestead in Indiana to be ❑ ❑✓ B,Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 0 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) License/ID/Other Number