Homestead_Dawson (8) INDIANA SALES DISCLOSURE FORM SDF
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Lana Harper
Preparer of the Sales 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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Darvin E.Cloin,Jr.
Seller 1-Name as appears on conveyance document Seller2-Name as appears on conveyance document
1/! A/r G)er''\A61e S)-
Add (Number and Street) Address(Number and Street)
r,f‘C(2_,, —0 r 6N i-i7(,70
City,
E-mail Telephone Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct and
co j, -teas required by law,xd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
.lgnature ofSeller Signature ofSeller
iarvin E.Cloin,Jr. 11/20/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
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Colton Riley Dawson
Buyer 1-Name as appeals on conveyance document Buyer 2-Name as appears on conveyance document
205 W.Makemson Ave
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670
City,State,and ZIP Code City,State,and ZIP Code
(
Telephone Number E-mail
Nov 95 2020
THE SALE ISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDE ALL OF THOSE THAT APPLY. /l�
YES NO CONDITION i YES NO CONDITION �l/sw�iv�°
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary
residence,including county: ❑ 121 4.Solar Energy Heating/Cooling System
�� �} ❑ 5.Wind Power Device
/ Y•o2D' ! � (ti' 6 ii ❑ 6.Hydroelectric Power Device
Address(Number and Street)
A/ Elt'`�t 7.Geothermal Energy Heating/Cooling Device
ey r -"k //V r / 977O 61f6DYL. ❑ IJ4 8.Is this property a residential rental property?
City,State,and ZIP Code I County
❑ rif 9.Would you like to receive tax statements for this
El ❑ 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)
26-12-18-104-002.804-028
City,State,and ZIP Cade