Homestead_Townsend INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D PREPARERi . z , � AK -°t€
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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.
.E•SEl ltRO fal A TORCH , , .. . ..> ,•_,. .a _ r_.. ..A_V.-. .,7.n. _-r ... _ ._.,. <,. _. .. . ._- .. ..._., -
Gavin T.Gruszewski
Seller 1-Name as appears on conieyance.document Seller 2-Ng*as appears on conveyance document
7410C1 O k- Pork Or.
Address(Number and Street) Address(Number and Street)
Al el,.b url1� , TA) —f 7 Lo3 D
this Sales.Disclosure,to the best of my knowledge and belief,is true,correct
and co plete as required bylaw, d is prepared in accordance with IC 6-1.1-5:5,"Real Property Sales Disclosure Act".
Signature of Seller ,Signature of Seiler
Gavin T.Gruszewski S�21/4-W •
_ Printed ilameof Seller . . _ Sign Date(MM/DD/YYYY) . _ _ Printed Name of Seller _S(gn bate(MM/Do/h7Y)
F'B y _... :Tf GRAI &$S)h*A'PLICAT ION FOR'PSRO RTYTAkDEDUCTIONS iI1 ENTIFY/AL't ITEM$THAT AP._PILY '_ _,.__.
Carly L.Townsend r ,"`I I cony ance docume Buyer2'-Name as appears on convey ce docr ren$ Ili
p (,r 612. . - nosed
Address(Numberand Stree ( :Address(Number and Street)
�LU G(5/1 Y'J �(,; JUN 3 2020
City,State,
THIS PROPERTY LL OF WEIMATIEZTONTYAUDITOR
YES NO CONDITION / ES . NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residen�cee? Provide complete address of primary LA . o ergy Heating/Cooling System
c3dt O r denl5/r luding�,�ov'�'
❑ ❑�/ 5.Wind Power.Device.
Addre s( umber a. c�n7/ B El6.Hydroelectric Power Device
�U (p C ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ �❑/ 2.Does the buyer have a:homestead in Indiana to be ❑ ❑✓ 8•Is this property a residential rental property?
i vacated for this residence? If yes;provide ❑ [] 9.Would you like to receive tax statements for-this
complete address,cif residence being vacated, pro.er. •'. mai?(Provi e con-. a ation
including county: ►e ow Please see instructions for more inform. in.
Not available in all counties.)
Address(Number and Street) _
City,State ZIP Code County �� '�^�� 3o�^O�•��^���
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