Homestead_Nelson (6)L\DI,�\p S.�LES DISCLOSURE FORM . SDF ID SDO ID 720327 Page 2
D.PREPARER � ' -
Michelle Haynes Closirg Agent
�'reparero(the Sa7a D"vrlosure Form Title
Io01 Main Street, Ste 101 Bo55e Title Company
Addras/Num6erarsd5treeQ Comyan�
Evansville, IN 4770&
E.SELLER(Sl/GRANTOR(Sl <"•- . . - _ . .-
Danell G Parker
Scfler 1� Name asappears on rom�e}vnce
838 S. Concord Drive
Addras (Nvmber and SveetJ
Princeton,IN 47670.
Ciry, Smta; and "LIPCode
. . . . . .. .. 'L`. .. , �
Mary B. (Panakake) Parker
Shcer? - Nume as uppearz on camr�vn�e dxument
838 S. Conwrd Drive
A6dress (Number ond 5[rm[J
Princeton, IN 47670-
Und r penalties of perjury, 1 hereby cer[ify [hat [his Sales Disclosure, [o the bes[ o(my knowledge and belie(, is true, wrrec[
a omplete as yr�eqw%� by law, and is prepared in accordance with IC 6-1e.1-5.5 "Re Pr perty�les 'sclosure Act".
/.c.,� JC/- r�-�.� �1n—�
namreof5e..er l5' a a/xller
i.)arr�l G. F�c'u�u,e� CUI �9 (11a.i� 0 nc rY� ZA
�.BUYERS'GRANTEE -APPLICATION�FOR.PROPERTYTAXDEDUCTIONS-IDENTIFYALL'ITEMSTHATAPPLY�� � �
Robert A. Nelson
Hyerl�Nameasa �^. mm�veyonredocummt euyrr?-Nameasnppearsonranvryanredacummt
CA 94538-
THE SALF3 DISCLOSURE FORM MAI" BE USED TO dPPL4' FOR CERTdIN OEDURIOVS
x❑ ❑ 1. Will this property be the buyer's primary �
residence? Provide complete address of prin
residence, including county:
838 S. CONCORD DRIVE
AEdrees (NUm6�r cnd S�reeQ
Princetan, IN 47670 GIBSON
Ciry,Smtel/PCode Loung•
� � 2. Does the buyer have a homestead in Indiana tn be
, vacated for this residence? If yes, provide
complete address of residence 6eing vacated,
including counq�:
Addrecs (kumber and Sveet)
Cuunry
Addras (Xumber end S:ree[J
Cim, Smre. vnd ZI➢Cade
,1PPLY.
❑X ❑ 3. Homes[ead
. o ar nergy Heating/Cooling System
�5 Wind Power Device
❑ Q
6. Hydroelectric Power Device
❑ Q 7. Geothermal Energy Heating/Cooling De�•ice
� Q R. Is this property a residential rental propetty?
� Q 9. lNould you like to receive taz statements for this
property via e-mail? (P�m•ide contact informadon
Gelow. Pfease see instructions for more in(ormation.
Not avoila6le in aIl counries.)
�o - U- i4- Z�� -� y. Z� 9-oa7
Pnn. arvnrooemownerconmrmame E-m.ail
Under penalties of perjury, I hereby certify that this Sales Disdosure, to the bes[ of my knowledge and belief, is [rue, correct
and romplete as requ�red law, and is prepared in accordance with IC 6-11-5.5, "Real Property Saies Disclosure AcC'. (No[e:
Spou�se inform �ci Se�e¢rlty and Driver's License/Other numbers are not necessary if no Homestead Deduction is
bein file ��
Signatureo(Nuyer:/Spouse
PnntedLeyalNameo(Buyer2/Spouse SignDate(Hx/Dn/rvYl]
'� �
SDigiGSO/'SxialSecunry�NUm6er LastSdiglao(Buyer7/SpouseDf(ver's Stote Las15DigiGSOJSxialSecuriry
License/ID/OtherA'umber Nmn6er Lirense/ID/O�herhum6er