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Preparer of the Sales Disclosure Form Title
Stacey Salzman Settlement Agent
Company
Address(number and street,city,state,country,and ZIP Coda). 1
2301 N.Burkhardt Road,Evansville,IN 47715
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Seller i-Name as it appears on conveyancadecument Seller 2-Name as appears nv y d ent
Deborah D.Birch,Personal Representative of the Estate of Debris M.E ' •
Address(number and.street) Address(number and 4`eti
708 N.Kennedy Drive AKA 708 Kennedy Drive r '4 4902 4 S :
City,State,and.ZIP Code City,State;aMoCode
i Fort Branch,IN 47648 -
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Country' Country N en,.,
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Email Address
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' 14-'10164415,,A,Frersonmho'knowmgVandintentionallpfaltifies,the:value,'oftransferreth
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ratu , Flf S ler "0 Signature of Seller .
,
rinted.Name of Seller DataSigned(mmiddiyyyy) Printed Name of Seller Date Signed(mm/dd/yyyy)
!Deborah D. Birch, Per Rep. 09/20/2024 • .- 09/20/2024 •
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Buyer 1-Name as•it appears on conveyance document Buyer2-Name as It appears:on conveyance.document ,Maura E.Kennedy Bryan J.Kennedy
Address(numberand street) Addreas,(number and street) . •
' 6712 E.Mulberry St. 6712 E.Mulberry St.
City,-State,and-ZP Code City,State,-and ZIP Code 1 Evansville,IN 47715 Evansville,IN 47715
Country Country
US
NO CONDITIQN
I *i 0
1*Will this the bUyer,s primary .0 3.Homestead 0 .. •- pr' ••perty be
1 residence? 0 (2c) 4.Solar Energy Heating or Cooling System
0 (X) 5.Wind Power Device
2.Does the buyer have a homestead to be vacated
0 (19
•for this residence?If yes,provide address; 0. Citl 6',Hydroelectric Power Device
Address(number and street) 0 (2) 7.Geothermal Energy Heating or Cooling Device
City,State,arid ZIP Code County I ac-11 -13 -10 1-ool . US -oat,
. •
Page 3
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