Homestead_Hansenour INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Chris Sullivan Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
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Mark Groves Jolene Steinkamp-Groves
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
716 S Boeke Rd 716 S Boeke Rd
Address(Number and Street) Address(Number and Street)
Evansville,IN 47714 Evansville,IN 47714
elief,is true,correct
and complete s required by law,and is prepared in accordanceArith IC 6-1.1-5.5 ' eal roperty S isclos re Act".
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SignatureofSel r 'IgnatureofSeller
Mark Groves 1,alp'�-Ua-0 olene Steinkamp-Groves 7/� o7C D
Printed Name of Seller Sign Date(MM/DD/YYYYJ Printed Name of Seller Sign Date(MM/DD/YYYY)
xF 7, (Sl/GRAN -7APIRMATIONFOnt PROP litti TFAXVDEI-UCTIONSaDENTIFYKALLITEMS'PF APPLY I- ., : 2-4. . '7-
everly Jean Hasenour
veyance document Buyer 2-Name as appears on conveyance document
656 Flatrock 656 Flatrock
Address(Number and Street) Address(Number and Street)
Evansville,IN 47712 Evansville,IN 47712
DEDUCTIONS FOR THIS PROPERTY. DENTIFY ALL OF THOSE THAT APPLY. FILED
YES NO CONDITION YES O—CQNDI?I
El1.Will this property be the buyer's primary El3.Homestead Jul 17 2020
•
residence? Provide complete address of primary Heating/Cooli4fg
residence,including county: ❑ RI 5.Wind Power Device GIBSON COUNTY AUDITOR CB
8141 S Victoria Dr
Address(Number an treet) ❑ C✓1 6. droelectric Power Device
Fort Branch 47648 Gibson ❑ 121 .Geothermal Energy Heating/Cooling Device
City,satezl ode County ❑ 8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ IZI 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide property via e-mail?(Provide contact information
complete address of residence being vacated, below.Please see instructions for more information.
including county: Not avails a/counties.)
Address(Number and Street)
Beverly Jea asenour26-18-24-101-002 .410-02
City,State ZIP Code County Primary property ow ontact name E-
Number License/ID/Other Number
