Homestead_Chism� I�DIASA SALES DISCLOSURE FOR?I
SDFI
Desiree Frank Typi
Rrpnrero) lhe Scre. pu:los�nr Fbm ' T�tle
SDOID 474487
Page 2
605 S. E. MLK Jr. Blvd Southwesiem Indiana LarM Title Inc.
dArfro�s(knmM:rand.VUCe�i fompany
Evansville. IN 47773
Clnt Aote, md%IPCnJe Te!ephone.YUmher E`m.eit
E. SELLER(5)/GRANTOR(5)
Bemice Jean Revocable Living Trust
.ii'I�C�' I. NIII�IC I(1I1fl�M'Pr3 U�) f0I11'['1'(111!(' �4N1/i11M111
178 E. 780 S.
AJdras (d'wnbrr mJ StreetJ
Ft. Branch,IN 4764&
Gat $infa: Rnd ZIP LWP
Bemice Jean Revocable Livinq Trust
.A•lirr 2- N�rmc.rs an�v: n nn rmnr:m�re tircumrn!
Jobes Lane
'dirss (.4umher onl Stree[J
Evansville, IN 47712-
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Under penalties of perjun�, 1 hereby cer[ih� [hat this Sales Disdosure, to the bes[ o(my knowledge and belief, is [rue, correc[
a.n(d comp'l/e[e as req/uired by law, and is preparerdn in acror'IdaLnce with IC 6-1.1-5.5, "Real Property Sale/s Disclosure AcC.
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PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT
Rachel L. Chism
6u:rr f - Kamc a� :
FL Branch,IN 47648-
Cirv. Smm. m�AZIPCrEc
THE SALES DISCLOSURE PoR)1 FIAI' gE USED TO APPLS" FOR CERTAIN DEDUCfI0N5
XQ � 1. �Vill this properry be [he buyer's primary �
residence"? Provide romplete address of prima �
rcsidencc, including county:
305 S. EASNIEVJ STREET
AdJrr•s (Alm:birendSlreerJ
Ft. Branch,IN 47648 GIBSON
Ci9t Sm:rZ/P G+.b Covnn�
�� 2. Does the buyer ha��e a iiomestead in Indiann to he
vacated for this residence"? Ifyes, provide
cmnplete address nf residen�e being vacated,
induding countr:
.aaa..s, eu,.,�tx.�„dsr.:e:i
iin�Sm:eZIPCoCr
Co�mq•
Quprr? - A'amr ns uppears om m�rt�nnrr Jurvmrnt
dEEnss (.YUm6er ondStrrc:)
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System
5. 4Vind Po�ver Device
6. Hydroelecn'ic Power Device
7. Geothermal F.neroy Heating/Cooling Deaice
8. Is this properry a residential ren[al property?
� Q 9. Would you like ro receive tax s4'�tements for this
properry via e-mai�? (Provide conmct in%rmatron
helo�v. Pleose see instructions%r more informatio�r.
.4'0[ nvailab(e in nll rounties.)
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mm�r
G'-ntuil
Under penalties of perjury, I hereby certify [hat this Sales Disclosure, [o tl�e best of my knowledge and belief, is true, correc[
and complete as required by law, anA is prepared in accordance wi(h IC 6-1.1-S.S, "Real Property Sales Disdosure AcC. (No[e:
Spouse in(ormation, Social Securityand Driver's License/Other tmmbers are not necessary iFno Homes[eaA Deduction is
being filed.)
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