Homestead_Stamper INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Lana Harper Escrow Officer
Preparer of the Saler Disclosure Farm Title
5231 Oak Grove Road,Suite A Total Title Services,LLC
Address(Number and Street) Company
Evansville,IN 47715 (
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Benjamin B.Dickinson Deana S.Rehmel-Dickinson
DiSeljr{1; easappea nconvveyyanncceddoocument, Seller 2-Name as appears on conveyance docament
Addreg(Nusberand Street) i I I /� Address(Numberond Street)
jA fif; r 1/A
City,
E-mail Telephone Number E-mail
Under penalties o p ury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true, correct and
corn to as re 'r/by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Qisclosure Act".
Signet r fSeller
Signature of Seller
Benjamin B.Dickinson 10/08/2020 Deana S.Rehmel-Dickinson 10/08/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
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Jeff D.Stamper Jannie A.Stamper
Buyers-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
7135E 500 S 7135E 500 S
Address(Number and Street) Address(Number and Street)
Francisco,IN 47649 Francisco,IN 47649
E-mail
Oct 13 2020
THE SALE ISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENT .'ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION �{(
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary
residence,including county: ❑ 0 4.Solar Energy Heating/Cooling System
�6 E -1� (� El El 5.Wind Power Device
i�1� \v ❑ 0 6.Hydroelectric Power Device
Address(Number and Street)
l (f�(10 n �� ❑ 0 7.Geothermal Energy Heating/Cooling Device
Q f (4 : \C\ l j V L 1 ) q (1t/)7(Jfl ❑ 0 8.Is this property a residential rental property?
city,State,and ZIP ode I County
❑ 0 9.Would you like to receive tax statements for this
0 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.
complete address of residence being vacated, Not available in all counties.)
including county
Address(Number and Street)
26-20-05-400-001.907-0G1