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INDIANA SALES DISCLOSURE FORM SDF ID: 2020 Page 2
D. PREPARER
Abbigail Moers
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (
E. SELLER(S)/GRANTOR(S)
SQ M 1>VOO d� k P ;ntr �-t, — �
Seller 1-Name as appears n conveyance document Seller 2-Name as appears on convey ent
304 E SR 68
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 40
City,State,and ZIP Code City, State, and ZIP Code
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E-mail Telephone Number SaN 41/4:,.i E-mail
Under penalties of perjury, I hereby that this Sales Disclosure,to the best of my knowledge an. ••, it; .ercorrect
and co required by ,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Di cip.pre Act".
Signatu er Signature of Seller
Pr!.:..n�ruaa.miiaJ��� ��mjT% Pa e r r a Printed lame o - - Si.'Date(MM/DD/YYYY)
Fri UYER(S)/GRANTEE(S)-APPLICATI•N FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT A'PLY
Kyle B. Fikes Tami D. Fikes
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
306 Alexander St. 306 Alexander St.
Address(Number and Street) Address(Number and Street)
Bicknell, IN 47512 Bicknell, IN 47512
THAT APPLY.
Y NO CONDITION YES NO CONDITION
0 1. Will this property be the buyer's primary 0 3. Homestead
residence? Provide complete address of primary 0 p 4. Solar Energy Heating/Cooling System
residence, including county:
0 El 5. Wind Power Device
589 S Cathy Dr.
Address(Number and Street) 0 2 6. Hydroelectric Power Device
—— — — — — 1 0 0 7. Geothermal Energy Heating/Cooling Device
Princeton, IN 47670 i Gibson'
City, State Code County ❑ ll 8. Is this property a residential rental property?
0 °" 2. Does the buyer have a homestead in Indiana to be ❑ 0 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete •-=ma.► ,-email? 'rovl.e . - -• ',formation
address of residence being vacated, including county: -- below Please see ins '. -- - ••• - ' ••••-tlon.
Not available in all counties.)
Address(Number and Street)
CP-1Q — lf — ►S— Aa - 0014-'131-1-Car/
City,State ZIP Code County Primary property owner contact name E-mail