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Homestead_Holcomb (2)
INDIANA SALES DISCLOSURE FORM SDF ID: Page x. LANA'C,HARPER CLOSER , ' Preparer of the Sales,Disclosure Form Title 5231 Oak Grove Rd.,Ste.A TOTAL TITLE SERVICES, LLC Address(Number and Street) Company ' .EVANSVILLE,IN 41715 E-mail. Ait �+14NTaIttgT .ic;r,4as.1i. .„ . z , °�' , <1.- ,.. m 0,Fut .:eA, .oNa...osklM:1�VAil Daniel R.Sisk,Sr. Janice F Sisk Seller 1-Name as appears on conveyance document r Seller 2-Name as appears on conveyance cument 0: lit/ $lq (A et Ave Address(Number and Street) Addr (Number Str e 9 °wehrsvi lief ' GI1 7K6'. 'w` TelephoneNumber E-mail. Under penalties of perjury,I hereby certify that this Sales.Disclosure,to the best of my knowledge and belief,is true,correct a . complete as required Xlaw,and is prepared in accordance wi h IC 6-1:1-5.5,"Real Proper' isclosure Act". .- (�cti X./ IT- --��z —Z.......r j( �t.'t F Signature of Seller L.lgnature Seiler I Daniel R.Sisk,Sr. /U//S/2 o 2-4) Janice F.Sisk /D//S/2 o u Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/rm') ilt .Y,h1 L fal ITEEfS MPAr6ORK1i0WIMP itt `.4X ottitt0110NS IID-I3NTI `"ALIatETfiA S TI ATA,Kt'"' :',.. '.-,=I ';,• Brian Lee Holcomb Kassi Lynn HoIcomb Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document r9ddress(Nu ber and Street) Address(Number and Street) I'riqN o I ) L . 67 G • YE 0 CONDITION. YES NO CONDITION 'h 1.Will this ro er be the buyer's primary r' ❑ p p ty y p y 0 ❑ 3.Homestead � residence? Provide complete address of rim.' �� , P P- ❑ © 4.Solar Energy Heati Cooling� ,.`� •+ resi enc I cl cling �T ��+ lk1(��,�' P L c , ❑ ❑J 5.Wind Power Device` sc3,3,6ct ess(Numbe Street) �� `^ ❑ 0 6,Hydr, ]ectric P- er I)evi2� 'a en ❑ 7.Geother� Ll6 "CHeating/Coo ing Device City,State.ZlP ode �♦ ❑ Q 8.Is this propert}PA' °r7 ••ntal property? ❑ 2,Does the buyer have a homestead in Indian- • • , 'xji vacated for this residence? Ifyes,provide /. 0 9.Would you like to rec iire. ' statements for this complete address cif residence being vacated property via e-mail?(Proves lep ltact information including county: beloiv.Please see instructions forQi re information.. Not available in all counties.) A..ress(Number and Street) ZU-05°—, 1 r iO- 011? 219-O. City,State' Code County , property owner contact name E-r•