Homestead_Broughton , . .„ . .. . . .
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Preparer of the Sales Disclosure Form Title -
Amy Perkins Settlement Agent
Company
I Address(number and street,city,state,country,and ZIP Code)
7820 Eagle Crest Blvd,Suite 201,Evansville,IN 47715
. ,
I I. SELLER(S)/GRANTOR(S) - . . b ... . .
Seller 1—Name as it appears on conveyance document Seller 2—Name as appears on conveyance do
Malone J.Harrison 1400 ..)
Address(number and street) Address(number and street) 4 i 4g1/n
24 el
7691 S 950 W
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City,State,and ZIP Code City,State,and ZIP rillg4riir,
Owensville;IN 47665 ‘S041,.,‘-' doPie
04iiii;„
Country Country
US , —Lipir
OA)
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Under penalties perjury,r homiyf000f):#450ittiPisOlq:atArtktt the 4eatiettay.keooeogkaaa:14.000;It#titittittg'004ictinii#0 tas
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i.olo.:00:oi!")4i40,i416,04.-iii.0iiioc.400op e,:01iloz0014:§,:i:kii*rspiyi,106:00Nciiiidli.:*6.c(iiiiiiiiiori4V.64100*•ttikM(40.*.:(0000i0
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i Sign to , Signature of Seller
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Printed Name of Seller - Date Signed(mm/dd/yyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
. Malone J.Harrison 08/08/2024 08/08/2024
i.4;:13UYER(S)/GRANfitt(S)• AftkiCAitteiN-0.0i4';PittiOtiltic VikattiUdfiltit,i ,ittEktiPY.ALLtHAtA000r
Buyer 1-Name as it appears on conveyance document Buyer 2—Name as it appears on conveyance document
Justin Broughton Cassidy Love
I Address(number and street) Address(number and street)
3212 S Rotherwood Ave 3212 S Rotherwood Ave
City,State,and ZIP Code City,State,and ZIP Code
i Evansville,IN 47714 Evansville,IN 47714
Country Country
US US
I
1 YES NO CONDITION YES NO CONDITION
0 1.Will this property be the buyer's primary ( l 0 3, Homestead
0:1
residence? 0 OD 4. Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 12 5.Wind Power Device
0 for this residence?If yes,provide address: 0 R 6.Hydroelectric Power Device
Address(number and street) 0 (0 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County '
1 `;06- k-vs..3 -o 2-k..
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