Homestead_Johnson (4)WDI9NA SALES DISCLOSURE FORM SDF ID:
J. Robert Kinkle
Preparer of the Sales Otrclasvrr Farm
N. HatSt.'POB x13
res t pt amber and stree:J
- .rtncet0, IN 47670
City, State, and ZIP Code -
ennveyonce document
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Page 2��
Hall, Partgnheimer 8 Kinkl
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S II r7 Aame asaPpe= =conveyance document
Address (Number and Street)
City, State, and ZIP
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
a complete as(J,J'equired by law nd is prepared in accordance with IC 6.1.1 -5.5, "Real Property Sales Disclosure Act ".
Slg tune of� 1�[Lp 1
� .-. ,. SlgnaNre a(Seller
W
1 -Name as
"Address (Numbsrand Street)
Evansville iN 47714
,
THE SALES DISCLOSURE FORM MAY DE USED TO APPLY FOR CERTAIN DEDUCTIONS
❑ ❑ I. Will this property be the buyer's primary
residence? Provide complete address of I
residence, including county:
7�d5 F ct�ee D,..,a ec
Addres (Number and Street)
Francisco IN 47649 Gibson
City, Stutz ZIP Code County
❑
✓ . ❑ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
- complete address of residence being vabated,
including county:
2501 Beach Drive
Address (N umber and Stree.)
Evansville, IN 47714 Vanderbur h
Clry, State ZIP Code
County
Buyer2 - Name as appears on mnvryance document
Address (Number and Street)
Gty, Start end ZIP Code
_L1 I J 3 Homestead
❑ E] 4. Solar Energy Heating /Cooling System'
❑ ❑✓ S. Wind Power Device
❑ ❑✓ 6. Hydroelectric Power Device
❑ ❑✓ 7. Geothermal Energy Heating /Cooling Device
❑ ❑✓ B. Is this property a residential rental property?
❑ ❑✓ - 9. Would you like to receive tax statements for this
property via a -mail? (Provide contact information .
below. Please see instructions for more information.
OJgC /O /3
Not available in all counties)
Cad D.'Johfison
a -man .
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 in n; Social Security and Driver's License /Other numbers are not necessary If no Homestead Deduction Is
n
Slgnatnreo uyerl '
Legal NamS ofRzV -1 Slgn Date MM/DD/YYYY)
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519natUm ofBuyer2l5pouse
Prfnted Legal Nome of Buyer Z /Spouse
(11M1Du1YYyY)
Last 5 digits of Buyer 2/Spouse Driver's State Last S Digits afSaCial Security
Number License /ID/Other Number
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