Homestead_Sutt • .
INDIANA SALES DISCLOSURE FORM SDF ID: . .
Page 2
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Christooher E.Carl Settlement Agent
Preparer of the Sales Disclosure Form Title
101 Plaza East Blvd., Suite 102 True Title Service,LLC
Address(Number and Street) Company
Evansville, IN 47715 (812)402-6555
City,State.and ZIP Code Telephone Number E-mail
is-1P-S813118RISPG-RANTOlk(S)ci 1--17- ,-'' .- a,--r .-.7-::-- -— 7.41-;."Ii--t ri.,-7.,—; :;1;1711:17::=7:1:11::::::.1.-' 7....17 71.1 1..
no'iglas t Meiring Kristi M Meiring
Seller I-Name as appears on conveyance document Sdler 2-Name as appears on conveyance document
827 N Highland Drive 827 N Highland Drive
Address(Number and Street) Address(Number and Street)
Oakland City Indiana 47660 Oakland City Indiana 47660
Under en ti of pe 'u Ke I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c ete sr/ f. ' - 1 I I law,a d is prepared in accordance it Ic6-1.1-5.5, ea Property Sales Disclosure Act".
iCh "" 0/7
CSign re of Segel:1
i 0 I digi7itaritif Said*
1• 1 . II- II I• . Kristi M Meiling if 30,2013
Printed Name of Seger r ?Sian Date(M1/51)/YYTY) . Printed Name of Seller Sian Date(m1421-D/11-1Thl
Eat.BUYERIISVCRIKNTEE(S), APP,CICATIONIFOR,PROBERMYtTKX!DEOUCTIONSODENTIFY/ALEITEMSiTHAVAREIN--7 7771-177:
Whitney Layne Sutt
lice document Buyer 2-Name as appears on conveyance document
Rt.3 Box 162
Address(Number and Street) Address(Number and Street)
Lawrenceville, IL 62439
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES KB _CONDITION
51 D 1.Will this property be the buyer's primary 1 0 3.Homestead I
residence? Provide complete address of primary 0 igi 4.Solar Energy Heating/Cooling System
residence,including county:
El 151 5.Wind Power Device
827 N Highland Drive
Address(Number and Street) 0 NI 6.Hydroelectric Power Device
Oakland City, Indiana 47660 Gibson 0 12 7.Geothermal Energy Heating/Cooling Device
City,Stat Z Code County
:-Does the'buyeehave a homestead in Indiana to be
vacated for this residence? If yes,provide 0 12 8.1s this property a residential rental property?
El 12 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) •46 "/V-/?-/0 et -0 oo..s7 7-00 7
Whitney Layne Sun
City,State ZIP Code County
Primary property owner contact name E-mail
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 information,Social Security and Driver' License/Other numbers are not necessary if no Homestead Deduction is
13-'n• fled. • _
.1 4_14.ii.1 eALAAi 0ILS
(Sig7ctitzire ofBITEWI Signature of Buyer2/Spouse
Whitney I ayne Shit . /)0!2013
Number License/ID/Other Number