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Homestead_Hasenour (10)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARBR J Angela Moers President Preparer of the Sales Disclosure Form live 605 SE Martin Luther King Jr. Blvd Southwestern Indiana Land Title Address(Number and Street) Company Evansville,IN 4771 E-mail E:SELLERiS]/.GRANTOR(S) RPM Development. I Lf:dha Reinhret:ht Homes Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 304 E SR 68 Address(Number and Street) Address(Number and Street) Hatihstadt,IN 47639 City,State and ZIP Code City,State,and 21 N Code Telephone Number E-mail Telephone Number E-mail Under penalties of perju hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and s r 1 y law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Sig azure o ,c e Signature of Seller - "I &e.1"&ir-i I(70-3/0:0'26 Printed Name of Seller Sign Date(MM/DDJY ) Printed Name of Seiler Sign Date(MM/DD/YYYr F.BUYER(S)/GRAI+TEE(S) AP.P.LICAT1014.-P0R k=IrOPEI:TY TAX.DEDUCTIONS-IDENTIFYALLITEMS THAT-APPLY William J. Hasenour Rita J. Hasenour _ Buyer)•Nome as appears on conveyance document Buyer 2-Name as appears on conveyance document 1361 W Chukar Hollow 1361 W Chukar Hollow Address(Number and Street) Address(Number and Street) Haubstadt, IN 47639 Haubstadt, IN 47639 YES NO CONDITION YES NO CONDITION Z ❑ 1.Will this property be the buyer's primary ❑✓ ❑ 3.Homestead Nov 05 2020 residence? Provide complete address of primary p ❑ � 4.Solar Energy Heating/Coa ' residence,including county: 0 1361 w Chukar Hollow ❑ ❑✓ 5,Wind Power Device GIBSON COUNTY AUDITOR CB Address(Number and Street)47639 ❑ © 6.Hydroelectric Power Device Haub, IN ❑ E 7,Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ ❑✓ 2,Does the buyer have a homestead in Indiana to be ❑ $ Is this property a residential rental property? vacated for this residence? If yes,provide 0 ® 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) - 26-18-36-300-002 . 773-024 City,Stare ZIP Code County Primary property owner contact name E-mail