Homestead_Stocker INDIANA SALES DISCLOSURE FORM SDF ID: Pam
Jeff Fox Title&Escrow Processor
Preparer'of the Sales Disclosure Form Title
3930 Mezzanine Drive,Suite C Columbia Title, Inc.
Address(Number and Street) Company
Lafayette, IN 47905
E-mail '
Isaac K.Fvans
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
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Address(Number and Street) Address(Number and Street)
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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 c plete as require law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Isaac K.Evans 8/31/2020
Printed Name fSeller Sign Date(Mbf/DD/YvYY) Printed Name of Seller Sign Date(MM/oD/YYYY)
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Lane P. Stocker Maki L. Urakami
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
405 South Cumberland Street 405 South Cumberland Street
Address(Number and Street) Address(Number and Street)
Fort Branch. IN 47648 Fort Branch. IN 47648
City,State,and ZIP Code City,State,and ZIP Code FILED
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APP .
YES NO CONDITION YES NO CONDITION
✓❑ ❑ 1.Will this property be the buyer's primary 0 ❑ 3,Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ 121 4.Solar Energy Heating/Cooling System
residence,including county:
405 South Cumberland Street ❑ ❑✓ S.Wind Power Device
Address(Number and Street) ❑ ❑✓ 6.Hydroelectric Power Device
Fort Branch, IN 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code Comity
❑ 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 ❑ 71 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)
26-18-24-202-000. 267-026
City,State ZIP Code County
Primary property owner contact name E-nail