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I Preparer of the.Salea Disclosureform Title
Stacey Salzman Settlement Agent
Company . .
.••
•
Address(number and street,.city,state,country,and ZIP Coder
•• 1 2301 N.Burkhardt Road,Evansville,IN 47715 . .
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310414000#0iikeiliallEllirallilINIBIMiNgaliiiiiiiiiiMMEMEMEZZIO T
Seller i.7 Name-as It appears on conveyance Seller 2--Name as appears on conveyance ocurnent
Debra R.Seib,Trustee of the Joint Irrevocable Income-Only Trust of All • !
Address((timber and Street) Address(number-and street)
•. .
P.O.Box 104
City,State,and ZIP-Code City,State,and ZIP Code '
Haubstadt,IN 47639 4pip
•
try Coun Country
1 P .
US
Email Address -
041 ( )
. 14"044.44,41.1010i*ACOMAgigigfiri:041, :#101:44:070fiCtOiiiigigiitiblYti006:047bittifii,.0K r,.:,''.0-17:40490#20,00.*-:,]R
50.40090:4#40%potioroiiii0*606*0-itoci,0445.4*....$Atkeatiwootkliwookamotervoit•aglifa*..;:,,..00-040AtedtRtite0.F
ii* tilio.ilotr*Aiikik04010:WOWTOTO*40404,0100.4.11*0.e..0060i.:..40.04..t#T.kg0.4ff4.:1.4.10iitRitAit-kaniiAA,44,i)arOrTiV...................1
K.A - Signature of Seller '0->ebalt; i.A,LL,451- •
Printed-Name of Seller Date:Signed(mmiddlyyy4 Printed Name&Seller Date Signed(mm/dd/yyyy) I —
. . 04/07/2025 : 04/07/2025
, .
P101 (0400.17(1.1glg) V1111q409001-RIOP-.0MIIMAIROIIC1.1-POgiigg07-ti-Ft403017:4, VARP714tF.Ai: Ettl'6,
Buyer 1-Name as Itappears•on conveyance document ' Buyer 2-Name as itappears-on conveyance document
Mason Dalton Lankford
Address(number and street) Address(number and street)
-
224 E 780 S • .
City,State,and.ZIP-Code City,State,-and ZIP Code I .
Fort Branch,IN 47648. • ,
1 Country • Country • .
• '
' US
. .
r4:7:rM:t46'figtfgiiit,Eif4fi:.a!!R):(it*4eitiiatAiiiifk:g.i*4:M
• YES NO CONDITION YES NO- CONDITION
ID 0 4
1.Will this property be the buyer's primary
K 0 3.Homestead
residence? 0 ( ) 4.Solar Energy Heating or Cooling System
•
• 2.Does the buyer have a homestead to be vacated. 0 al 5.Wind Power Device
0 110- for this residence?If yes,prOvide address: a t 0,Hydroelectric Power Device - ••Address(number and street) 0 1X) 7-Geothermal Energy Heating.or-Cooling Device
. :
City,State,and ZIFt Code • County A'AS—3 1-3o -io o 0- ILA k) — o oct
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