Homestead_Bruce (2) H. PREPARER
Preparer of the Sales Disclosure Form Title
Kris Coon Closing Agent
Company
Address(number and street, city,state,country,and ZIP Code)
4600 Washington Ave., Suite 102, Evansville, IN 47714
I. SELLER(S)/GRANTOR(S)
Seller 1 —Name as it appears on conveyance document Seller 2—Name as appears on conveyance document
Randy W. Duncan Kimberly S. Duncan
msrprergnaci_ ,� (� v.] Address(number and street)
stets;' ZI_P Codio � City,state,and ZIP Code
lo
Country Country
USA USA
E-mail address
required taw,and is prepared in accordance with IC 6-1.1-5.5.A person who nowingly and intentionally falsifies the value of transferred
real p pe ,'or omi or falsifies any information required to be provided,corn its a Level 5 felony.
Sig to of Seller Az 16
Si�rg atu of Se er It i
`
P' tad Name of ler D :si ed(m ' dlyyyy) printed ame o SeAe Dat signs (mm/dd/ )
Randy W. Wean g Kimberly S. Dung k/ eku.--
J. BUYER(S)/GRANTEE(S)-APPLICA ION R PROPERTY TAX DEDUCTIONS—IDENTIFY ALL THAT APPLY
Buyer 1—Name as it appears on conveyance document Buyer 2—Name as it appears on veyance document
Christian Taylor Bruce
A d es nu r çeire } Address(number and street)
W—. 14
i •fate and e {
i " City,state, and ZIP Code .1,)
iv r� � - ; 10 'SUN ,
C. ntry Country 4 S 10�l
USA
for certain deductions.Identify iII df t apply:
YES NO CONDITION YEES//NO CONDITION to/3,
t(] 1.Will this property be the buyer's primary b 0 3.Homestead
residence? 0 '`X. 4.Solar Energy Heating or Cooling System
le/ ri Z. oes the buyer have a homestead to be vacated 0 % 5.Wind Power Device
16-4 for this residence?If yes,provide address: 0 6. Hydroelectric Power Device
Addrqsgpumber,and street o T' 7.Geothermal Energy Heating or Cooling Device
T6US hi
i sta , IPcol,g co 26_IZ- 01- Lto[ _001 . Li 1^S_O2_8
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete
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