Homestead_Freeman r .
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H PREPARER
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Preparer of the Sales Disclosure Form Title
1 Company E-mail address
Address(number and street city,state,country,and ZIP Code)
; 25 NW Riverside Drive,Suite 310,Evansville,IN 47708 ,
I.SELLER(S)/GRANTOR(6)
. _ . . .... _ , . -I Seiler 1-Name as it appears on conveyance document Seller 2-Name as appealym conveyance•....7 ,' ;
Albert Vincent Price Ashley Jo Price ki/V
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I Address(number and street) Address(numbs nd street)) ?
9125 Indian
City,state.and ZIP Code City,state.an
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Owensville,IN 47665 Owensville,IN 47665 CO Le-
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E-mail address
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( Under penalties of perjury,1 hereby certify this Sales DiscloSure,to the bust of my knowledge and belief,is•trire,correct and complete as
i*required bylaw,and is prepared in accordance with 1064.1-5.5.A person who knOwlitgly and intentionally falsifies the value of transferred
1 real property,or Oinites.or falsies any Information required to be provided,commits!a:Level 5 felOoy,
li Sigr)1197f Siel .,- f Signature Seller 0
Panted Name of Seiler Date sl,ned(mnaiddlyyyy) Printed Name of Sell .` i Date s'gned(rnmfddryyyy)
A Albert Vincent price -7 alz 3 Ashley Jo Price _ 1., -7 3/73
..
J. BUYER(S)JGOANtEE(S)-AOLICATtON.FQR PROPERTY TAX DEDUCTIONS IDENTIFY ALL THAT:APPLy
; Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
Erin Freeman Jacob Freeman
i Address fee . rand sir,eet) , _ ,,., ,A._,c1c1re,ss(member ant/st 60
L oi Code (d3 : . - 2(f2.__,
Ciry,state,and ZiP1...cuCity,. 01 .ant:Jr:1:N
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Caunliy Country
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! US US
E-mail address
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' YES NO CONDITION YES NO CONDITION
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,1 :,. 1,Will this property be the buyers primary residence? 0 3.Homestead
0 CS 4,Solar Energy Heating or Cooling System
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- 2.Does the buyer have a homestead to be vacated C3 5.Wind Power Device
C a. for this residence? If yes,provide address:. D 511 6.Hydroelectric Power Device
1
A snumber and ddres II( ..e_tret) 3 A
0 7.Geothermal Energy Heating or Cooling Device
Orate,ZP code,arid unty k 1
N 47 ' 5 ('/k, ,,P6-\9- -03 -3oo -000 008_02,1
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i Under penalties Of perjUry.I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,le.true.correct and complete
1:as required by law,and is prepared in accOrdance with IC 6-1.1-5.5.A person who knowingly and intentionally falsities the value of..
I_transferred real property,or omits or falsifies any information required to be provided,commits a Level 5 felony...(Note:.Both Spouse's
. _____ _.... ,. ...._ . _
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