Homestead_Davenport INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
-7 7 r 7_711 fl.
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'SELLEk(S)/GRANTDk(S)' °_ij --_--_ .. —=_ _�- ,.1� ,;2 --- -'t_.:_ -__
Ryan M Hayden Rachel M Hayden
Seller l-Name as ap rs on conveyance document Seller 2•Name asa pears a conveyance document
7aaf IssO C Ka -Nap of conveyance c 2d
Address(Number and Street) _ Address(Number and Street)
Monro2 etkLi ) J u(756 7 VVlnrlr-oe Cut /N `17557
Under enalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an o p to s required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Se..er Signature of Seller
/
Ryan M Hayden 6 I a1/13 Rachel M.Hayden (0/a I 113
Printed Name of Seller Sian Date(MM/DO/TYYY1 Printed Name of-Seller Sian Date fMM/DD/YYFn
`FI'BUYER(S)'/GRANTEE(S), APPLICATION EOR`PROPERTY.TAX DEDUCTIONS='IDENTIF.YLAEL ITEMS THAT'APPLY" -__i
Brandon K. Davenport Leann M. Davenoort
Buyer 1'Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
2t S' �o/"C rl r- 7/Z 6./no 1)/(r/-7 r3ri C4.
A drew(Number and Street) Add ess(Number and Streel)
A k 2 4
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy f I / olirE�y7ys i Dr
residence,including county: ❑ F � [ i_ :
702 S Mohican Dr 5.Wind Power s
Address(Number and Street) ❑ Q 6. Hydroelectric Pow eY1
Patoka, IN 47666 Gibson *�/Co
❑ 7.Geothermal Energy eating Coo ing Device
City,State ll Cade County
❑ 2.Does the buyer have a homestead in Indiana to be
❑ 8. Is this property a r identi re erty?
vacated for this residence? If yes,provide - ❑ Fl 9.Would you like to Cements for this
complete address of residence being vacated, property vel8813h?Pediff Yos Tr/ mation
including county: below. Please see instructions for more information.
OtPin Not available in all counties.)
Address(Number and Street) Q
City, ZIP Code County
a -64-as- 400 - O . Li -00
`-oa�
ry,
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
bein filed.) a_
.ere4:9 '"(i G/!—c'., Dann 1. y 2/ fqg61
Signature of Buyer! — Signature of Buyer2/Spouse n
•Brandon K Davenport I !� 1 Bann M Davenport 7/O//3