Homestead_Stangle INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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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
E-mail
it:SaIntSMANTO Rtgr,a,7 7 -7—--;. .:. :-—I -I- '::::•-. :,; .::.. :1:
Jerry Lee Grubb Rhonda G.Grubb
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
/CA.q'il E 50 _.,.--
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Address(Number and Street) Address(Number and St/yet)
Ott KlAaub 0,1- • Af 47(.. o 0,4k14,x0 0;4-1 --Ar 41(.., o
City,State,and ZIP Code City,State,and ZIP Code
E-mail
Un i - .?enalties of perjury, ereb ly that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
• d co a lete as r a ,a i prepared in accordance with IC 6-1.1-5.5,"Re ProlZy Sales i losure Act".
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//°nature 1 - c- S61).4.277
lane ure of Seller
Jerry Lee Grubb /-'2 7--/x10.6 Rhonda G.Grubb t-a 7-02020
Printed Name of Seller Sign Date(MIVDDLYYYY) Printed Name of Seller Sign Date(mm/DDATY)')
,1?;:760:VE0)./dPANIEE(S); OPiLitATIONItOkt101581V-L,'PAROEDWIIONgtativrIpyALLift:Wtfr tafet:,..-_
Andrew William Stangle
Buyer 1-Name as appears on.c9nrypnce documeAt Buyer 2-Name as appears on conveyance docu t
5118 S 1-hcKonA Wing(Rot y
...
Address(Number and Street) Address(Number and Street) - '
V(riCeOlS IN 475 9
City atate,and ZIP
_ Telephone Number ,,
-/ E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAACIfiei
YES' NO NO CONDITION YE NO CONDITION
Et 0 1.Will this property be the buyer's primary D 3.Homestead /Zb
R
residence? Provide complete address of primary D 2 4.Solar Energy Heating/Cooling System
IVierithdoing clty. :
0 0 5.Wind Power Device
AddrA(N er and Stieetb4t ..i.N 47610 0 CW
li it El 17}
6.Hydroelectric Power Device
Ul ?IVA.
itr
.-14 0 Z 7.Geothermal Energy Heating/Cooling Device
D 2 8.1s this property a residential rental property?
City,State VIP Code County
D 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 2 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.
N t available in all counties.)
Address(Number and Street)
CEDD 10
Number License/ID/Other Number
.