Homestead_Albaugh I
H. PREPARER
Preparer of the Sales Disclosure Form Title
AbbEscrow Officer
Company Telephone numberaii Moers
Address(number and s reet,city,state,country, and ZIP code)
605 SE Martin Luther King Jr Boulevard,Evansville IN United States of America 47713
1. SELLER(S)/GRANTOR(S)
Seller 1 -Name as it appears on conveyance document Seller 2-Name as it appears on conveyance document
Cinda M.Trader
Scott E.Trader '
Address(number and street) Address(number and street)
188 N. 1050 E. I 188 N. 1050 E.
City,State and ZIP Codlr City,State and ZIP Code
Oakland City,IN 476ti0 Oakland City, IN 47660
Country Country
United States of America United States of America
E-mail address
I Telephone number E-mail address I Telephone number
Under penalties of perjury,I hereby certify this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as
required by law,and IS prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of transferred
real property,or omit or falsifies any information required to be provided,commits a Level 5 felony.
Signature of Seller 1 Signature of Seller Pitsigned(mm/dd/yyyy) Printed Name of Seller to signed(mm/dd/yyyy)
Scott E.
Trader of Seller I Date Cinda M.Trader ///` �
Scott
J. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT Ag&LFY
Buyer 2-Name as it ars on cconvelj/ ce,document
Buyer 1 -Name as it appears on conveyance document Kimberly D.Albau�te C y�
Christopher L.Albaug� /
�� Address(number a^ndI t% rt
Addr ss{number rid s(reet) t 3, O I v 1 p�N
City,State and ZIP Code Una,
City,State and ZJPgCod� (� ( (ii pV I c l A l- ? R
otN k ky f\Ljl A W(o-3 0 0 Country ?S�
Country i United States of America
United States ofAmerca
certain deductions.Identify all of those that apply:
Y r NO CONDITION YE NO CONDITION
0 1. Will this property be the buyer's primary residence? 0 3. Homestead
0 p 4. Solar Energy Heating or Cooling System
❑ Nee 2. Does the buyer have a homestead to be vacated for this ❑ ii 5. Wind Power Device
residence? If yes,provide address: 0 p 6. Hydroelectric Power Device
Address(number and street) 0 Q 7. Geothermal Energy Heating or Cooling Device
City,State,ZIP code,arid county I.
- 1 Ca— cc:O t - y Z,a3_.
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
as required by law,and is prepared in accordance with IC 6-1.1-5.5.A person who knowingly and intentionally falsifies the value of
I
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