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Homestead_Jerger
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 ESELLER0/GRANTOR(S)._. _ _ erek S Allen eller 1-Name as appes on conveyance document Seller 2-Name as appears on conveyance document IbI a5 're nnc5_ C-, 5T • ddress(Number and Street) Address(Number and Street) ('�akla 0,6 TA! `/76k0 Telephone Number E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct a 1 d comps requiredlaw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". ignature of Seller Signature of Seller Derek S.Allen O-7/ �/aaaa Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name o(Seller Sign Date(MM(DD/YYYY) V.BUYER(S)/GRANTEE(S), APPLICATION FOR PROPEAV TAX.DEDUCTIONS,.IDENTIFY ALL,ITEMS THAT APPLY w Quentin P.Jerger Jessica M. Jerger uyer I-Name as appears on conveyance document yes 2-Name as appears on conveyance document ( � �� gG I d ess(Number and Street) ddress(Number and Street) 143, , E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL 0 OS T T YES NO CONDITION YES NO CONDITION 12/ ❑ 1.Will this property be the buyer's primary [ ❑ 3.Homestead AUG 0 2020 residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System (OL�c res' ec^enclingcounty: tC ❑ ❑✓ 5.Wind Power ice ess u Brand$trestj i. -ill il „ki 9-6 Gl , = TMJ `J' 1 ❑ 6.HydroGIbib U q.ticp,UDITOR City,State ZIP ode V` County ❑ 0 7.Geothermal Energy Heating/Cooling Device ❑ 2.Does the buyer have a homestead in Indiana to be ❑ ❑� 8.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. Not available in all counties.) Address(Number and Street) _ 2‘—Zo--02—LkCit— )00. 1cc g — 00 3 City,State ZIP Code County Primary property owner contact name E-mail