Homestead_Malotte (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:PREPARER - „
C_ha3LD'1jelner Title Services
P`vrn of theSeis Curialurr Form tun
501 Main Street.Sulfa 501 Bcssc Ti:ly •nl ,n
41Cre3(.Unbar and SDM) Cempin.
Evansvile,IN 47706 512-721-7000
OO,Sacr.sod&PGdt 7 ..,.Monbe C teed
E.SELLERS)/GRANTORIS).
Manhn P dfLyan StephcnA_O.ELyan
sea, 1-s'u..,r a,oa.v,tun o.,.rmme euu.wm Lace Na.,ra(ot4'.n u..ur.pv e Ja wont
_1983 F ceua_Prfve .1981E Sierta_adve
Ades,).(lo!',hn an?iv•es.!) Whet(.mite,and S.mt7
lanobstad) IN 47619 aaunctalt 1N 47639
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 wit 1.1.5.55,,,""Real�,gperty Sales Di ore Act".
QNis s . D' / ec/l.Z/a-Lt!_it. FJ�
Lp 'air ofSeaer On al Seller
(ilaniia P C)'Bry>an qtrphecL11.5213ium 6, ��
Printed Name NSrao lion tote vow,velnro Pint&Sane.l.6aer an er OrNiotvr. 7
F:BUYERS)/GRANTEE(S)4 APPLICATION FOR PROPERTY TAX DEDUCT IONS-IDENTIFY ALL ITEMS THAT APPLY
Timothy_YLNialotte JaiPO L Ma lotto
Row.I-.S'on Some u,uac-cn an ranaaw,re&rumen !ken I-Stmt m api.-m un umgvnre document
14600 Honeysuckle Orve 14500 itAieT3stsile Olive
,tddro,/Number aolnmn) Add'.' (Nutt rr'M 5WM)
Evansvile,IN 47725 f vonsviBO IN 47725
!
TOE SAll}nOCtwSUAE F04,174 kl Or USED 10 APPLY Disci RIA IN DEDUCTION?,FOR TIIts PROP ERr e.)DI:YTIrY AM nr 1'Ilosi:TItsT Area Y.
ITS NO CONDITION I YES NO ra\nrTln9
5 ❑ I,Will this property be the buyer's primary o ❑ 3.h omestead
residence! Provide complete address of primary ❑ 5 4.Solar Energy cleating/Cooling System
residence.Including county: ❑ 5 S.Wind Power Device
1981 F Sier_ZDnve_
„Mess,(en .+and ea en) ❑ 0 c.I lydroelectric Power Device
Haubstadt,IN 47639 Gibson ❑ O 7.Geothermal Energy Heating/Cooling Device
Clp,Sat,TIP Cade Caine
o ED 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property n residential rental property?
vacated for this residence? If yes.provide ❑ 0 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 ins uvctions for more information.
14600 Hmevsutkle Oovo _ Not available in all counties.)
Evansville, IN 44525 az/p-a5 II ao6 CV I. 9a 5c)
Evansvile, W 47725 Vanoerburoh Qv-
C...1:nfr 2P Bit, nudity
("fluty MrperrvaNner(onta(name Mall
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-S.S,"Real Property Sales Disclosure Act•.(Note:
Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.)
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