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Homestead_Peek
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ..D.PREPARER . Donna Zehner Processor • Preparer of the Sales Disclosure Form Title a � 2301 N Burkhardt Rd First Advantage Title Address(Number and Street) Company Evansville.IN 47715 • E.SELLER(5)/GR-N.TOR(S)':? - - i—g a. .a— i =d,<< li,T T-.; „=i'., i;" s is --.. • Richard K Deffendall Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document Address(Number and Street) Address(Number and Street) ,c�j�-x�j'r...v.4 ��/i./ v ' 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 • I and complete as p1 quiiredbry flaw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". r Signature of Seller Signature of Seller Blohard K Deffendall /2-l0 ''' a Printed Name of Seller Sign Date(MM/DD/YW}) Printed Name o[Seller Sian Date fMM/DD/YYYY) F58.UYER($) GRANifEE(S)-APPLIC°ALIONIaORFP$`Ol?ERt_I`Antlat-CTIONS,;IDENTiFaY'l•WrEIVWI.Hi31.9P L'YM A Rodney L Peek Buyer 1.Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 12 0 W( e Yn-k-t A l Ave, Address(Number and Street) Address(Number and Street) ?i1n(e. A-00)1 U `.\7610 E-mail Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.Dec 14 2020 YES NO CONDITION YES NO CONDITION lQi{{G [v� ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead GIBSON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including-county: \k.) (t n-y Ai Hit' ❑ ❑✓ S.Wind Power Device Address(Number and Street) ❑ Z 6.Hydroelectric Power Device • • c) f 1'' e-}-rrI) >+IJ \-» --1 D 6- b&an ❑ yj 7.Geothermal Energy Heating/Cooling Device City, fate ZIP Code / County ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ El 9.Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail?(Provide contact information • • including co ty: below.Please see instructions for more information. o04 6001e Uof G 1 Not available in all counties.) Address(Number and Street) FF P f i n(I 4 00. \ '- K G 1-6 G- � 26-12-18-304.003-793-028 City,State ZIP Code26 12-1.8-304-002. 507-02tounty Primary property owner contact natne E-mail Number License/ID/Other Number