Homestead_Kueber INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ii�� 7��rn..` F$'y.5 }Yyy.�` z ^r�=,k„i�� - s�-:�,r�,_.s"�1fi�'. •�,.,�„�t�+�ex.�s� .ors.c.- f..-r"�?.�a�i�v'` r.,,yaF'�"`��'�'� �"'rp°v��^�^�Y'o"rs''r,�.. ,K.F ''a rr y�,M!«: '�� ^��s .� :PR P ,3 : '.u�'S:e".c.i{>x}r a r., ,-.zv_:,.�'S>�'.��;s...: ;-.r :.x .-;''-.. ...,..a°,_ ....,., .N ...."..,r.,C:..i..P.,V:.... .�_...<, z<c'n .. ,.-,.v%,.k.c ::..-sr_.._..,c _..... .:�.:, 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 i.._. .. � .. �. r t sa. � �,��� ..,,„'_ �+",? ma's-.l'.`t�a-�.y .�a�,.z.a rr ��'"-4- '`j::r y.��.._.�-c� F��. i� P. m G t_ 'y".r Ti -r Ne r u s,.rt ,,,-.��'"w y ,a_X a,-..s„"2y,.t7riR.�.r.� .`_kt mil\_:E,lr.1: -;. r,..x E ...Er��"L£�'�.�i.J��{7wi•-+':��t/.1�t�3. _x...ttn.:�,.�r'._��„_�.,r.... '�.i.......::� _...<3�.�.ax: .2 �'F!c-d _�x.._�. 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) { 0 �'�EE '".�APF�C�T�i3�3:Eb�R�.�ROP6R1;�'.�.�Cb�p N5�:.;X� _iSN. ��s�,� NfS''_xH PLI`w���"�`__' �':'�� 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