Homestead_Hurt (2)-INDIAt:.a SALES DISCLOSURE FORM SDF ID:
,heparer af Ne Safa Din'losure Form
4405 THEATER DRIVE
Addrm (Nvmber andStreet)
EVANSVILLE IN 47715
Gry, Smle, and Z/P Code
Page 2.
MORTGAGE LOAN OFFICER
r��
EVANSVILLE TEACHERS FEDERAL CREDIT WiION
Company
mall
STACY M. HURT
SeOer 1- Name as appmrs on conveyance docvmmt SNler 2� Nome as appmn on ronveyvnce dxument
775 SOUTH WHITE CHURCH ROAD
Address(NvmberandSmrlJ Addres(Nvmb<rand5veet)
PRINCETON IN 47670
E-mail Telt honrNUm6er E-mail
Under penal[ies of perjury, I hereby certify that [his Sales Disclosure, to [he bes[ of my knowledge and belief, is true, correc[
and cortyptgte as required by �aw, an� is prepared in accordance wi[h IC 6-11-5.5, "Real Property Sales Disdosure Ac[".
SLEY S.
dxument
ZIP Code
9 �Z 7-O 8
THE SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAI.Y DEDURIONS
YES NO COYDR109
� ❑ 1. Will this property be the buyer's primary
residence? Provide complete address of ri r
775 SOUT��i�E"����°i�Be�D
Addras (Number and Suee[J
PRINCETON IN 47670
Ciry, Smm ZIP Cade Covnry
❑ [� 2. Does the buyer have a homestead to be vacaced for
this residence? If yes, provide complete address of
residence vacating, including county:
Address (Num6er andSVtttJ
Signadre o/Seller
Buyer 2�,YOme as appmrs on ranveyantt do[vmml
Addres (h'umbe� anASvn[J
Ciry, Sru[q andZlPCOdr
IDENTIFY ALL OFTXQSE TFL1T APPLI'.
� ❑ 3. Homestead
❑ � 4. Solar Energy H ng/Cooling System
. wer Device
❑ � 6. Hydroelectric Power Device
❑ � 7.GeothermalEnergy Hearing/Cooling Device
❑ �, 8. Is [his property a residential rental property?
Under penalties of perjury, l hereby certify [hat [his Sales Disclosure, [o the besc of my knowledge and belief, istrue, correct
and comp e[e as required b law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[".
�h �.c,e �,i.� � � I
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Signaturc ofBuyer2
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