Homestead_PalmerINDIANA.SALES DISCLOSURE FORM SDF ID:
Addres (Num6er and SVee[)
Evansville. IN 47708
Ciry, Smte, and Z/P Cade
Closina Aaent
Title
Bosse Title Comoanv
Christine M Ingler I Donald W. Render
Seller I- Name as appears on com�eyanre document Sel(er1 � Name as appears om m�veyunce dorument
Addrecs (NUmber an d SaeeQ
of perjury. 1 hereby certify that this Sales Disdosure, to [he bes[ of my knowledge and belief, is [rue, correct
lequired by law, and is c rdance w'[h -5.5, "Real Property Sales�e Act".
' �� — — - �..( Ky s� � �
` Signamreo/Seller
� 1 1• 1 1
Heating/Cooling System
� �✓ 5. Wind Power Device
❑ ❑✓ 6. Hydroelectric Power Device
❑ 0✓ 7. Geo[hermal Energy Heating/Cooling Device
� �✓ 8. Is this property a residential rental property?
� �✓ 9. Would you like m receive tax s[a[emen[s for this
proper[y via e-mail? (Provide contact informopon
6elow. Please see instructions�or more information.
Not availa6le in all counties.�� 7
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Pdmarvemeemawnerronroaname E-mail
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Under penal[ies of perjury, 1 hereby certify [ha[ [his Sales Disclosure, [o [he bes[ of my knowledge and belief, is true, corrett
and complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Proper[y Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessary if no Homes[ead Deduction is
being fil d. � 'a / ,�/ "�
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�'gmNre o(Bvyerl Sigrt'aNre o/By�er2/Spouse
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