Homestead_Riordan (2) iliOi!Oi0AiiiktRigefNiatifakTOg.;•!411.7g: iq0.Eigilli!i•ii:TgtaiRiiii,Minainii:5Mli.§,i;•40:::;.4-'tiVi '::; P';.7,:i .,;: .'.!;'i:',;.it:]'•:i:w•-a :::.,i '''''7,.
Preparer ofthe•Sales Disclesure•Form Title
Sherri•Hudson Settlement Agent
Company. - Email Address
,
Address(number and streetcar,state,country,and.ZIP Code).
2301 N.Burkhardt Road,Evansville,IN 47715 _______---,..,;. i,...::.T—T-L.,-rs•:';,,,. ,,-...._ .,717. . .-,;F :i .,;: .:;',,, :,;i:-:::: :;1,::;,:.,; :i&iiii.. .,..7.F.-F,Di ,,pH:fji.„- :t:,!, ,t,,,tt;,-1.,Aril„7.,g,R,-,,..--„;;g:, ,, ,,,,ii.E:,,,..,1--,,..ff‘t;
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Seller 1.-Name as it appears on conveyance docurtent. Seller 2-Name as appears on cony ce doeurnent•
The Estate of Joetta Q.Tislow .
Address(number and street) Address(number and Street)
.
500 E.Second St.
It
•
City,State.and ZIP Code City,State,and ZIP Code
Oei
Hazleton,IN 47640
<2 ,
Country. Country „9<704
US • Q4e,
Email Address
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SinatiteOfBellei Signature
of Seller
‘.
i * ' ) M
Printed Name of at«, •r siif ,
Date Signed(MM/dd/yyyy) Printed Name of Seller Date Signed(rnrii/ddlyyyy)
Jon Lee Robb, . , 2..c 10/24/2024 . 10/24/2024
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Buyer 1—Name as itappears on conveyance document . Buyer Z—Nameas.tt appears.on conveyance document
Shelby E.Riordan
Address(number and street) Address(number and'street)
521 Wolflin St.
City,State,and ZIP Code City,State,and.ZIP Code
Mount Vernon,IN 47620 , •
Country Country
•
US
- . . . .
Entail Address. '
AS"' NO.. coNliu mo
0 3.Homestead 1..Will this property the buyer's primary
. . . •resicience?' 0 3 4.Solar Energy Heating,or Cooling System
r,1 • 2.Does the buyer have a homestead to be vacated 0 CO 5.Wind Power De‘lice
for this residence?If yes,provide address; CI at 6.Hydroelectric Power Device f
AddreSS(nuttier and street) 0 (3-s) 7.Geothermal Energy Heating or Cooling.Device
• ,
City,State,and ZIP Code _,, , Qounty'
C —01-4A9-101—000- 2StLi —0 19 .
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Digits of Buyer 2/Spouse SSN/Driver's License/ID/Other Number
..
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