Homestead_AnthonyINDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
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CHRISTINA M LENFERS CLOSING AGENT
' Prepa�erofrheSalaDiulosvreFOrm Title
i01 MAIN ST STE 101 BOSSE TITLE CO
Address(Numbe�and5treeq Company
EVANSVILLE IN 47708 (
E-mail
E:SELI:ER S GRANTOR $ f� �3-.�x F . � x� � � , a_:= -�' �� - 'FP.�_>y � �.', -
FLIZABETH ANN MLIRPHRFF
Seller I� Name os appears an canveyana document Seller 2- Name as appears on ronveyvnre docvment
4 Q N BA D HI ANF
Address (Number and Svre[J dddrea (A'um6er and SveetJ
PRIN TON IN 47670
Ciry.Smce, and ZIPCOde Ciry, Srare, andllP lade
E-mail Tele haneNUmber E-mail
Under penalties of perjury, 1 hereby certify that this Sales Disdosure, to the best of my knowledge and belief, is [rue, correct
and co le[eas requir y law and is pre ar d in ac ordance wi[h IC 6-11-5.5, "Real Property Sales Disdosure Ac[".
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RinledNameo Seller SianDv40. /DD/YYYYI PnnredNameo(Seller Si nDOtefM.4/o0
F:B PLICATION�FOR�PROPERTYTAXbEDUCTI0NS=IDENTIEYALL'ITEMSsTHATAPPLY"_- .�--.-Le ��:-_`:��;
MI HAEL R. ANTHONY
Buyerl�Nameasappearsonro �_ redrcvmene Bvyer2-Nameasappearsanronveyancedorumm[
Address(Num rand5veet) ddAres(A'um6erand5ueetJ
� PRINCETON IN 47670
�ry.5mre,andZlPCade Ciry,Smte.andZlPCOde '
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f-mail Tefe honeNumber E-mail
TNE SALES DISCLOSURE iORM MAY BE USEO TO APPLY FOR CERTAIY DEDIIRIONS FOR THIS PROPERTY. IOEhTIFY ALL OF TNOSE THAT APPLY.
YES NO COKDITION NO CO\DI
�✓ � 1. 4Vi11 [his property be the buyer's primary ❑J ❑ 3. Homestead
residence? Provide compleYe address of primary , o ar Energy Heatlng/Cooling System
residence, induding county:
� Q 5. Wind Power De��ce
Addre¢(Nvmberand5ure[J ❑ ❑✓ 6. Hydroelectric Power Device
❑ ❑✓ 7. Geothermal Energy Heating/Cooling Device
CiN, Smce Z/P Cade Counry
� � 2. Does [he buyer have a homes[ead in Indiana to be � ❑� $� �s [his property a residential rental property?
vaca[ed for [his residence? If yes, provide ❑ � 9• Would you like [o receive tax statements for this
complete address of residence being vacated, property via e-mail? (Provide contact information
induding munty: 6elow. Pleasesee instructions for more informapon.
Not availa6le in all coundes.)
Address (Rumber and5veetJ �� }�/`� 1
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Ciry, Smce 21P Code Covnry
PnmaryProperryawme�mnmct name E-mail
Under penalties of perjury, I here6y certify [ha[ this Sales Disclosure, to the best of my knowledge and belief, is [rue, correc[
and comple[e as required b law, and is prepared in accordante with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse information, Soci ecur' and Driver's License/Other numbers are not necessary if no Homestead Deducdon is
be' g filad.)
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