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Preparer of the.Sales Disc!mute Form Tale
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.Stace Salzman Settlement A.ent ‘•
COmpany•
Address(number and street,city,state,country,and ZIP code)
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2301 N.Burkhardt Road,Evansville,IN 47715 • :
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Seller 1:—Name as Itappears on conveyancedocurnent Seller 2—Name as appears on conveyance document .
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Beverly Deen Richardson Gynith Cope •••
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Address(number and street) Addre.ss.(number and street)
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530 S.Aiken St. 530 S.Alfrell St.
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City,State,and ZIPCode City,State,and ZIP Code
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Oakland City,IN 47660 Oakland City,IN 47660• Country. - Country
US US
Email Address
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Signatiii.Of Seller Signattiv.•of Seller
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••
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Printed•Islame of Sella i Date:Signed(mm/dd/yyyy) •rin-d Na e.of Seller Date Signed(rrimidd/yyyy)
Beverly Deen Richard 1m 05/19/2025 Gynith Cope A...... 05/19/2025
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Buyer 1—Name as Itappeats.on conveyance document Buyer/—Nameas It appears-on co • - a .doe.1,..-nt
Jacob A.We.ner • A. ..... '
Address(number and Street) Addriats(number and street)
i
301 S.Railroad St.W P
.. - . •CityrState,and ZIP Code City,State,and Zi^ iiM,e. •
Wheatland,IN 47597 Q/4? 8,5. .•
Country
z.
: Country
US
YES NO. CONDITION
thip_prpperty he the buyers primary CD 0 3.Homestead
24 ",—,! residence? 0 OD 4.Spier Energy Heating.or Cooling System
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2.Does the buyer have a homestead to be vacated. a (g) 5.Wind Power Device
0 PK! for this residence?If yes,provide address; O. 120. 6...Hydroelectric Power Device
Address(number and street) • 0 (23 7.Geothermal Energy Heating or Cooling Device
City,State,and ZIP Code County
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