Homestead_Davis (4) INDIANA SALES DISCLOSURE FORM SDF ID: — Page.2
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Donna-Zehner Processor
Preporer oldie Sales Disclosure Form Tide
' 2301 N Burkhardt Rd - _ First Advantaae Title .. ._
Address(Number ond Street) Company
P Y
Evansville;IN 47715- -- ---- ., -
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j Rahert-L 7err__ . . - Jacqueline F.7err -
Seller 1-Nurne us appears on conveyance document Seller 2-Name as uppeurson conveyance document
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Address(Number and Streit) Address(Number and Street)
Pr i rI C2. +s n 1.N1 til i 1)
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_, E-mail Tel Nurnbcr' E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosurs,tc�theg best of my knowledge and belief,is true,correct
oeu I ne b
a Vr as required by law,and is prepared in accordance�niytttt�IC�6- -5. ."R a1 Property Sales Disclosure Act".
JJ�e'�n' - Jean"
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5/18/2020 I 1, :5t���r" S` bT 5/18/2020 I 1
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PrintedNunte:o[Scller . . Sign.Date(41M/DD/Y)'YYt Printed Nameopelfer Sin Date(Mhl/DD/VtYV)
tI U . .'41a. Aan `PsP I GA (}lT.i QRs O R ` AXE; ilti D ..-y,'',,'4 tardf anTI E OTIV W LVF =`''.
Hanna L.Davis
B • •• • . •n conveyance document ' Buyer 2-Name as appears on conveyance document
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Address(Number and Street) Address(Number and Street)
PAI-OV i , u.3 41 666
E-mail Telephone Number E-mail
1 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY SE THAT APPLY. FILED
YES i NO CONDITION _...._. .. 1: • .NO .CONDITION
❑ 1.Will this property be the buyer's primary . ❑ 3.Homestead May 18 2020
residence? Provide complete address of primary - gy Heating/Cool'
residence;including county:
121 E C' .tl S S S -(e e# ❑ ❑✓ 5.Wind Power Device GIBSON COUNTY AUDITOR CB
Address(Number and Street) - ❑ Z 6.Hydroelectric Power Device
Petit (PIl1t1 47G66 _ c i ii,s On ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State' 'Code. County.
❑ [ 2.Does the buyer have a homestead in Indiana to be El 08.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: be . ' :,. •e instructions for more information.
Not available in all coun '•
Address(Number and Street)
2 .-04-24-401-000. 309-020
City,State ZIP Code County - -
Number License/iD/Other Number