Homestead_Doerner (8) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D>PREPARER-- ; '_•. L
CHRISTINA LATHAM TITLE CLERK
Preparer of the Sales Disclosure Form Title
4703 THEATER DRIVE - REGIONAL LAND TITLE
Address(Number and Street) Company
EVANSVILLE, IN 47715 812-402-4553 CHRISTINAeREGIONAL-LT.COM
City,Stare,and ZIP Code Telephone Number E-mail
.B SELLERS)/GRANTOR(S) ' _ :::
STEVFN P DOFRNFR I ITA DOFRNFR
Seller I-Name as appears on conveyance document Selle 2_Name as appeu on conveyance document
Address(Number and Street) Address(Number and Street)
it , c 'ado S . /0/o7 L.. late!.
City,State,and ZlPCode - ,St te,and ZIP Code �/ � ����0
/; k 1 • 1 .T/✓ 7 118 (/�L/7
Telephone Number E-mail Telephone Number 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 -1.1-S.5," eal Property Sales Disclosure Act".
' Signature of Seller r 1 Signature of Seller tlrf��
STFVFN P DOFRNFR 0 /OS//t/3 I ITA DOFRNFR IS P214-3
Name of Seller Sian Date MM/Db/YYYYI Printed Name of Seller Sian Date W.WDD/YYYYI
F.BUYER S GRANTEE S _APPLICATION FOR•PROPERTY TAX.DEDUCTIONS-IDENTIFY-ALL ITEMS THAT APPLY
• IEL J DOERNER MEGAN E DOERNER
• e as appears on conveyance document Buyer 2-Name as appears on conveyance document
Xis-aa, s• too G -(spa S. (c00 .
Address(Number find Sweet) Address(Num and treet)
/' '(clx,4 V7 6( s E\ c(\pia ,'sfS L cc13
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT AP
YES 0 CONDITION YES `
❑ I.Will this property be the buyer's primary Homestead / ^^c
residence? Provide complete address of primary O 4.Solar Ener at o//CogU'�'syste�, \'se-
residence,including county: ❑ [�S.Wind Power l ice c 14� 1i..
lcta S 1non \ a� l
ddress(Numb,..andStreet) • ❑ [X 6.Hydroelectric Power Crevice
�1�-7Qf-'{ e.1c-1 (►J t{'-1 �13 6IL -A) ❑ �7.Geo thermalEnergyHeatiItset�gDevice
City,State ZIP e
County
❑ Is this property a residents- ntal property?
2.Does the buyer have a homestead in Indiana to be ❑
vacated for this residence? If yes,provide ❑ [�.Would you like to receig x statements for this
complete address of residence being vacated, property via e-mail?(Prbivide contact information
including county: below.Please see instructions for more information.
Not available in all counties.
Address(Number and Street)
MEGAN E DOERNER .26" .20 93-` 2-00 "cool '1.26r.o..0 I .-
City,State ZIP Code County E-mail
Primas,;prvpe y-o. .“cu,..,,�•„umr
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
bei filed)
F, D
S . reofByrerl Signature D e2/Spouse
DANIFI ,I DOFRNFR :11c)013 MFrAN F DOFRNFR 'I-s- a0 13-