Homestead_McDevitt INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:PREPARER .-,
Laura Rininger Closing Coordinator
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services, LLC
Address(Number and Street) Company
Evansville,IN 47715 812-759-5555
City,State,and ZIP Code Telephone Number E-mail
E.SELLERS)/GRANTOR(S)' :u -: -. . _.-
c Nf (t?
Ann Rler Revn. le r 1st dated 10/77/08
Seller 1•Name as appears on conveyance document Seller 2-Name as appears on conveyance document
46R9- T— 10544 Willow Creek
Address(Number and Street) Address(Number and Street)
Marianna 7446 Newburgh IN 47630
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 wi 4 6-1.1-5.5,"' •al P operty Sales Disclosure Act'".
!iririr.�=.����'- iA�1 ru.LU /f 6/ ' / ��'�__V\ t`VAq
ignature of Seller tureo •• ler
¶ O f ai\-Lki ,ei. 44-A043 \e 1 L nn Malec C(um 6112°)13
Printed Name of Seller Sian Date(.MM/DO/YnY) Printed Name a Seller Sian Date(MM/DD/nfl)-
F.BUYER(S)/GRANTEE(S)'sAPPLICATION FOR PROPERTY TAXbEDUGTIONS1 IDEN'PIFY ALL ITEMS THAT.APPLY - -
Delores J.McDevitt
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
8015 River Park Wav
Address(Number and Street) Address(Number and Street)
Evansville, IN 47715
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TIIAT APPLY.
YES NO CONDITION YES NO CONDITION
la ❑ 1.Will this property be the buyer's primary F4 n 3. Homestead -
residence? Provide complete address of primary n 0• 4.Solar Energy Heating/Cooling System
residence,including county: ❑
9341 F SR 64 S.Wind Power Device
Address(Number and Street) ❑ 0• 6.Hydroelectric Power Device
Oakland City, IN 47660 Gibson ❑ TA 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
N ❑ 2.Does the buyer have a homestead in Indiana to be n 0• 8.Is this property a 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 instructions for more information.
8015 River Park Wav Not available in all counties.)
Address(Number and Street)
Evansville, IN 47715 Vanderburqh
City.State ZIPCode 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's License/Other numbers are not necessary if no Homestead Deduction is
be1 nafpiled.)
Signature of Buyerl QQQQQQ Signature of Buyer2/Spo use
Delores J McDevitt 6/20/2019
Number License/ID/Other Number