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Homestead_Hill (23)
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 E.-SELLER S)/GRA:NTOR(S);.-_--- Mission Real Fstate Group Irlc Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document %MB'O /41Ct.rt-t 5'7 / Address(Numb dStreet) 7/ ^� Address(Number and Street) / lr!'7 7 7/49" E-mail Telephone Number E-mail Under penalties erjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and compl as r fired b prepared in cordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". c/L'r-aaT S' ure of Seller Signature of Seller ,Iarnes Chappell.President 9/i.'120,-2e) Printed Name ofSeller Sign Date(MM/DO/YYYY) Printed Name o[Seller . Sign_Date[Alai/DD/YriYJ F.-BUYER(S)•/.QRANTEE(S)1-APPLICATION FOR PROPERTY TAX DEDUCTIONS-t:I)gNTI.FYY ALL ITEMS THAT APPLY. - Roberta D. Hill Name as appears on conveyance document Buyer 2-Name as appears on conveyance document xpoi / uo ir.fem ( SA (Number and Street) Address(Number and Street) T A ' �7ln r .City, rate,and ZIP Code City,State,and ZIP Code E-mail 'telephone Number SPp 21 2020 E-muil THE SALES D SCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. 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 ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 0 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑ 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 ❑ M 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) 26-12-07-401-002 . 796-028 City,State ZIP Code County License/ID/Other Number