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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Laura Rininger Closing Coordinator
Preparer of the Safes 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 ZIPCode Telephone Number E-mail
�E.SELLER(S)/GRANTOR(S}_ r - - .. - .".. o J. -o-, P;'= • "? - . . • .>-.. -
Mark W Jorden Jr Kathryn JM Jorden
Seller 1-Name as appears on conveyance document Seller 1•Name as appears on conveyance document
721 S Prince St 721 S Prince St •
Address(Number and Street) Address(Number and Street)
Princeton IN 47670 Princeton IN 47670
Telephone Number Email
Under penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and corn lete as re ired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
hgnattireofSeller f/ n t Signature of Sell• ii .
Mark W Jorden Jr 1 1 3. 11 )+ Kathryn JM Jorden I
Printed Name of Seller Sian Do (MM/D /YYYY) Printed Name o/Seller Sian•ate(MM/DD/rlin
F.BUYERS)/GRANTEE(S)c APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY.ALL ITEMS THAT APPLY • • . '
ani S. Lea
ar Hall HET-
, appears on conveyance document Buyer 1-Name as appears on co
413 S.Hart St. ■lu` r■1
, Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 pp2013
THIS PROPERTY. IDENTIFY ALL OF THOSE THAT A
YES NO CONDITION YES NO CONDITION GIBBON COUNTY AUDITOR
0 ID 1.Will this property be the buyer's primary 3.Homestea
• residence? Provide complete address of primary u Q 4.Solar Energy Heating/Cooling System
residence,including county: ❑ 0
721 S Prince St 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson El 0 7.Geothermal Energy Heating/Cooling Device
City,State ZlPCade County
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 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.
Not available in all counties.)
Address(Number and Street)
.z . — /01—o7 - 30el -oo/.4//- o a :
Ciry,State ZIP Code Cou s
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
b 'ngfiled.)
Min �.LQ
ignature of
Number License/ID/Other Number