Homestead_Long (4) I{N��DIANA SALES DISCLOSURE FORM SDF ID: Pa•e 2
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Lana Harper Escrow Officer
Preparer of the Safes Disclosure Form Title
5231 Oak Grove Road,Suite A Total Title Services,LLC
Address(Number and Street) Company
Evansville,IN 47715 (
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Chris A.Dewig Tammie Dewig
Seller I-Name as appears on conveyance document Seller2-Name as appears on conveyance document et spA-er_. /, (cly /
Address(Number and Street) Address(Ngmberand Street)
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E-mail
Under penalties of perj ,I lyejeby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and
ccort"
s required b aw, nd ispr'epattd in accordance with IC 6-1. 5. "Realoperty Sales losur t".
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gnatureofSeller Sig reofSeller C....--
Chris A.Dewig 10/05/2020 Tammie Dewig _ 10/05/2020
}�Prriin�ted Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
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Timothy Charles Long Joni M.Long
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
10679 S 525E 10679 S 525 E
Address(Number and Street) Address(Number and Street)
Haubstadt,IN 47639 Haubstadt,IN 47639
Oct 07 2020 E-mail
THE SALE,SCaSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY .L OF THOSE THAT APPLY. ji_t
YES , NO CONDITION YES 0 CONDITION 4�J r
❑ 1.Will this property be the buyer's primary 0 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary
residence,including county: El0 4.Solar Energy Heating/Cooling System
S
}r. ❑ 0 5.Wind Power Device
1 t � C 1 0 0 6.Hydroelectric Power Device
Address(Number and Street)
1J,UJO54'Ij./j4 ^� ❑ 0 7.Geothermal Energy Heating/Cooling Device
41 14 -"T� (lk'60111) ❑ 0 8.Is this property a residential rental property?
City,State,and ZIP a County
❑ 0 9.Would you like to receive tax statements for this
❑ 2.Does the buyer have a homestead in Indiana to be property via e-mail? (Provide contact information
vacated for this residence? If yes,provide below.Please see instructions for more information.
/OL/ Yto4e,4cra
complete aduding codrress of residence being vacated, Not available in all counties.)
It nty
A 'r s(Numberand Street) 26-23-01-200-002.089-024
'.,State,and 2TP Code I County Primary property owner con tact name E-mail