Homestead_Bailey (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Haley Lewis Escrow Officer
Preparer of the Sales Disclosure Form Title
7321 Eagle Crest Blvd.Ste.A Foreman Watson Land Title, LLC
Address(Number and Street) Company
Evansville, IN 47715
E-mail
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Bruce A.Ward
Seller 1-Name as appearson sr veyaw document it- /...k.) 9 Seller 2-Name as appears on conveyance document
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Acrldr._ess(Number and Street) . iii Address(Number and Street)
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c 11C\Vt-i U i ts4_ 9 17 1 °S
E-mail 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
and co tl-te as r ed by w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
/- -
4ter•of Seller Signature of Seller
Bruce A.Ward 8/1Q/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
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Devyn R.A. Bailey Krimson R.Bailey
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance doc e
2490 South Old State Road 2490 South Old State Road I 1-
Address 4(Number and Street) _ Address(Number and Street)
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Owensville, IN 47665 Owensville, IN 47665
City,State,and ZIP Code - City,State,and ZIP Code 4.(./61
Telephone Number E-mail Telephone Number -Ns, xe ("?i(20 E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF T9d,SYWk.....:• Y.
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YES NO CONDITION YES NO CONDITION `-'/,4/ '2./
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z 0 1.Will this property be the buyer's primary 2 0 3.Homestead "14)
residence? Provide complete address of primary 0 2 4.Solar Energy Heating/Coakqystem
residence,including county:
0 Z 5.Wind Power Device
400 N Eastview St
Add ess(Number and Street) Ei V] 6.Hydroelectric Power Device
Fofi Branch, IN 47648 Gibson 0 p 7.Geothermal Energy Heating/Cooling Device
C ,State ZIP Code County
El IZI 8.Is this property a residential rental property?
D 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide 0 Yj 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
' cltycling co n ty:
1S-b/1— S J 1 p i to-e-R.61 uS- below.Please see instructions for more information.
Not available in all counties.)
al Numb Vdt iSitrenet)— i 4.-iuus
Gi kidithl 24 --)q-ls-30L-000. LI SS-- co 2‘.
City,State ZIP Code County •
Primary property owner contact name E-mail