Homestead_TraylorI�DIA::A SALHS DISCLOSURE FORM SDF ID SDO ID 469032 Poge 2
i D.PREPARER
CHRISTINA M IENFERS CLOSING AGENT
Prepvrcr o(thc Sales Disdosurc Porm Title
�501 MAIN ST STE 701 BOSSE TITLE CO
Addrea[Numhe�and$veetJ
�� . SELLER S GRANTOR S
' ""CANTNER JODI M CANTNER
Seller ]- Namr as oppeors m ronrnnnce documenl $cller 2� Nome ns oppevrs on conre�mce dxvment
PO BOX 371 PO BOX 371
Address (Num6er and5veet) Address (Number and Svee[J
HAUBSTADT, IN 47639- HAUBSTADT, IN 4763&
Under penalties o(perjury, l hereby certi(y that this Sales Disclosure, to Ihe best o(my knowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance t C 6-1 5.5, "R I Prop r Sales isclosure Act".
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5, C�in2l' � � i 5, � e��c�, Nt C p a+/�o
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F. i - APP CATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
T D J TRAYLOR BROOKE A TRAYLOR
Buverl-A'omeasappearso yanaedavment Buyer2-Nameasappearsonconvrynnredavment
S AVE 627 N WOODS AVE
Address(;:umberand5treet) AEdressQiumberanJSVeet)
EVANSVILIE, IN 47720- EVANSVILLE, IN 47720-
THE SALFS DISCLOSURE iORM MAY BE USED TO APPLY FOR CERTNN DEDUCTIONS:OH THIS PROPERTV. IDENTIFY ALL OF THOSE THAT APPLY.
YFS NO CONDITION YFS NO CONDITIOY
�x � 1. �Vill this property be the buyer's primary Q � 3. Homestead
residence? Provide complete address of primary � � 4, Solar Energy Heating/Cooling System
residence,indudingtounty: ❑ �
10044 S. PARTRIDGE AVE 5. Wind Power DeViw
Address(Numberand5.rretJ ❑ Q 6. Hydroelectric Power Device
HAUBSTADT, IN 47639 GIBSON � � 7, Geothermal Energy Hea[ing/Cooling Device
Ciry.SmteZIPCoQe Counry
� � 2. Does the buyer have a homestead in Indiana to be � 0 $� �s this property a residential rental property?
vacated for this residence? If yes, provide ❑ 0 9. Would you like to receive tax statements ior this
complete address of residence being vacated, proper[y via e-mail? (Provide contoct information
induding munty: below. Please see instruc[ions for more in(ormafion.
Not available in ail rounties.)
Add�ess (Numlm� ond Strmt)
�i / Ss-3 �- 3 oo a� � 9�so aa�
City.Sm:eLlYCode Connry �
Pnmvryproperry n:vnermnme[ name f-mail
Under penal[ies of perjury, 1 hereby certify [hat 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". (NO[e:
Spouse informa ' ocial Security and Driver's License/Other numhers are not necessary if no Homestead Deduction is
being f � � n
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