Homestead_Kueber INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Leon C. Stone President
Preparer of the Saks Disclosure Form Title
226 West Broadway Street Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 (
E-mail
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Sandra K.Algaier
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
8167 S Angelia Drive
Address(Number and Street) Address(Number and Street)
Fort Branch IN 47648
Telephone Number E-mail Telephone Number &mall
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
i
Signature of Seller Signature of Seller
DC
Sandra K.Algaier
Printed Name ofSeller S(qn Date( /o /YnT Printed Name ofSeller Sign DateIMM/DD/YYYY) {
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Christopher Stephen Kiteber
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
508 Reliance Drive
Address(Number and Street) Address(Number and Street)
Evansville, IN 47711
City,State,and ZiP Code City,State,and ZIP Code FILED
(
E-mail Telephone Number E-mail
Sep 29 2020
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
El ❑ 1.Will this property be the buyer's primary E 0 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ ® 4.Solar Energy Heating/Cooling System
residence,including county: 0 ® S.Wind Power Device
8167 S.Angelia Drive
Address(Number and Street) ❑ ❑✓ 6.Hydroelectric Power Device
Fort Branch, IN 47648 Gibson ❑ 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 D 2 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) 26-18-24-101-002.016-025
City,State ZIP Code County
Primary property owner contact name E-mail
Number License/ID/Other Number
