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Homestead_StricklandINDIANA SALES DISCLOSURE FORAI SDF ID SDO ID 678156 Page 2 :n+ Laura Boyle Mortgage Loan Officer Preporeraf the Sates Disclosure Form rule dak4011 Theater Drive Evansville Teachers FCU (Number and Street) E.SELLER S `GRANTORS : ,ter John D. Nichols Linda L. Nichols Seller I - Name as appears on conveyance document Seller - Name as appears on conveance document 5302 South 925 East 5302 South 925 East Address (Number and Street) Address (Number and Street) Oakland City, IN 47660- Oakland City, IN 47660- E -mail Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete as required bylaw, and is prepared in accordance witl ,IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act". AL t� � A G- i in amre of Seller 5 mrc of5ell 1 to • I(q A/ J /D - / /O • � I O 1 �iJ /NR• /Q / � I n r F. BU -APPLICATION. FOR PROPERTY TAX D TIFY:ALL ITEMS THAT APPLiY lake C. Strickland Diane M. Strickland _.__gMer L-,65amrs on conveyance document Byer 2 - Name as appears o veyance document 0105 East 57 10 asst 575 South Address (Numberand Street) Address (A'umberand Street) Oakland City, IN 47660- Oakland City, IN 47660 - E -mail THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION Q ❑ 1. Will this property be the buyer's primary ❑x ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4. Solar Energy Heating /Cooling System residence, including county: E) 5. Wind Power Device 5302 SOUTH 925 EAST ❑ © 6. Hydroelectric Power Device Addres(NumberandStreet) Oakland City, IN 47660 GIBSON ❑ © ?• Geothermal Energy Hearing /Cooling Device ❑ ,�, R; !s this proper ty a residential rental pr ^perry? _ ntysmrezlpcade County • ❑ ❑ 2. Doeathe c e oyer have a homestead ia;ndiana to be vacated for this residence? If yes, provide E] FL] 9• Would you like to receive tax statements for this complete address of residence being vacated, property via e-mail? (Provide contact information including county: below. Please see instructions for more information. Not available in all counties.) -AG _03 - �oa - Goo . 9�3 -oa/ Address (Number and Street) City State ZIP Code County Primary property owner onmct name E-mail Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct and complete as required by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". (Note: Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is her file CaN�P1L�• Slur-12 Sgnammofauy I 5i one ofBuyer2 /Spouse , to 1c,ke C. sif�ddml - 110 -kio �InP W, Sficklrm (nl i (oll o Name ofBayer l Sign Date Printed Legal Nair 2 Sign (MM/ o/Y m cued Legal me oflhg License /ID /Other Number Number License /ID /Other Number