Homestead_ScottI\DU\.\ L�LES DISCI.OSURE FOR\I SDF ID SDO ID 676294 � Page �
D;PREPARER
�Cnsta Wallace Typisi
ArparvoJrhrSUfrs Diulosurc Fo�m iitle
605 S. E. Martin Luther King Jr. Blvtl. Southvrestern Intliana Land Title
AAdress(Nuniberond5vxt) (�� �.
Evansville, IN 47713-
E. SELLER S GRANTOR S
Doyle W. Hayes Jr. Chpstine L. Hayes
Seller 1� i1'ame ar oppmrs nn mmeinnce daaumm[ ,Srller 2-T'nme ns nppmrs om m�ve��m�e dMVment
702 E. Clark SVeet P. O. Box 256 702 E. Clark Street P. O. Box 256
Addre,c (A'amber and 5[rre.y Address (Xumber ond S[rrerJ
Ovrensville, IN a7665- Owensville, IN 47665-
Wider penaities of perjun�, 1 hereby certify that this Sales Disdosure, m the bes[ of my kno���ledge and belie(, is true, mn�ec[
and wmple[e as required by� law, and is rep,a/red in accordance with IC 6-7.]-5.5, "R I Prope y�[y Sa/les Di clos( �re Act"._^
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S�,ynamreo(Seller �- Sig mreaf5ellrr
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F. 5 GRA� EES -APPLICATIONFORPROPERTYTA' UCTIOi\'S-IDE FY.qLLITEMSTHATAPPLY
Aaron J. Scott Noelle Scott
ay�erl� -� rappmrsonronreyanredavmmt ' .' .'_._.usappmrsonronve�r�nredotm�rnr
I7238 . setta Drive 12382 S. Rosetia Dnve
dddress(M�mOerandSVeet) Addreca(A'um6erand5neetJ
Haubstadt, IN 47639- Haubstadt, IN 47639-
THESALFSD6CLOSUREFORMMAYBEUSEDTOAPPLYFORCERTAI.�DEDUCi'10\SFORTHISP . pENTIFI OSETHATAPPLI'.
1'ES NO COYDITION YES YO C08DITIOS
�x � 1. 4Vi11 this property be the buyer's primary � � 3. Hoinestead
residence? Provide complete address of primary � , o ar �nerg�� Heating/Cooling System
residence, induding councy: ❑ �
72382 S. ROSETTA DRIVE 5. bVind Poa: er De�•ice
AJdress(XUmbrrond5treetJ � Q 6. Hydroelec[ric Power Device
Haubstadt, IN a7639 NOT APPLICABLE � � 7. Geo[hermal Energy Hea[in;/Cooling Device
Cip•. Smte ZIP Code Counry
� � 2. Does the buyer have a homestead in Indiana to be � � 8� Is this property a residen*.ial rental propercy?
vacated (or [his residence? If yes, provide ❑ � 9. Would you like to receive tax s[atements for [his
complere address of residenre being vacated, P��operty via e-mail? (Provide ronmct in�onnotion
induding county: below. Please see instructions%or more inforrnation.
Not avarlable in nll coimties.) /
,IdJras/A'umLrranJS�nrt) ' O��
07� -0�.3 /% 0700-00/, l0/3
Ciq�.SmteZlPCOdr County
PnnaryQmperty owner conmct nome Emnil
Under penalties of perjury, 1 hereby certify that [his Sales Disdosure, to che best o( my knowledge and belief, is true, correct
and complete as required by laa, and is prepared in accordance witli IC 6-1.1-5.5. "Real Properly Sales Disdosure Act". (\bte:
Spouse information, Social Security and Driver's License/Other numbers are not necessary i(no Homestead DeAuction is
b ing filed.)
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