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Homestead_Luttrull INDIANA SALES DISCLOSURE FORM SDF ID: Page 2_ D.PREPARER - _ Christina Latham Title Clerk Preparer of the Sales Disclosure Form Title 4600 WASHINGTON AVE,SUITE 102 Regional.Land Title Address(Number and Street) Company Evansville, IN 47714 - E-mail E.SELLER(S)/GRANTOR(S) Kevin W Luttrul Jodi C. Luttrull Seller 1-Name as ap ars on conveyance document Seller 2-Name as appearrs a co >.amce(lociieent V V utp Address(Number one Street) Adfi67? (Nanibera dStreet) �//Ci State,and ZIP a ��n� r. / f C !1D t3 .City, 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 law,and is prepared in accordant: ith 6-1.1-5.5," ea rope Sales Disclosure Act". /.?� ` -( p fir (iy6&2QO Signature of SellerSreofgerKevin W.,Luttrull m, 6-5- 0 Printed Name ofSeller Sign Date(MM/DDAITY) Printed Name of Seller Sign Date[MM/DD/YYYY) _ .F ERj' E S)-:APPLICATION.FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY / f -Adam Paul Luttrull ame as a•mars on co yance document Buyer 2-Name as appears on conveyance document i � -_J( i .--rAc //!. •Pi/c-Ws- d ress(Number and Street) Address(Number and Street) FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT AP p [ • G�rr YES NO CONDITION YES NO CONDITION ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead GIBBON COUNTY AUDITOR CB residence? Provide complete address of primary ,boa gy eating/Cooling System residence,including county: ❑ © 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Cade County ❑ ❑ 2.Does the buyer have a homestead in Indiana to be El WI 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. of available in all coup . Address(Number and Street) 26-17-12-202-000. 095-022