Homestead_Davis (3) •
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:PREPARER .T-1.r .arnr;"H:747 it.- ..
LANA C. HARPER CLOSER
Preparer of the Sales Disclosure Form Title
19 NW 4TH STREET STE 500 TOTAL TITLE SERVICES,LLC
Address(Number and Street) Company
EVANSVILLE, IN 47708 812-468-8485
City,State,and ZIP Code Telephone Number E-mail
7E.SELLER(S)/GRANTOR(S) T.7::-._,.a-y-s--e 'Pt.'t'P: <,,a �..,.. e,�o.T ru T-Cr!Pt'n:. -. ;r,.,,„
RYAN ALAN SWEARINGFN
Selig I-Nam!as appears on conveyance document Seller l-Name as appears on conveyance document
lQ/ 5 -oor
Address(Number and Street) Address(Number and Street)
Fran e/s&n /N '/7e0 c19
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 a required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
nature ofSSSeeelJlleCr/�� .5r...)832.1911 7-A3-13
Signaure of Seller
nted Verne of Seller fin Sign Date 7 ) Printed Name of Seller Sian Date(MM/oo/rvYY)
F.BUYER( GRANTEE(S)-APPLICATION FOR PROPERTY-TAX DEDUCT IONS-;IDENTIFY ALL ITEMSTTHAT-APPLY•
CHOLAS DAVIS
--� -._.9, •ace document Buyer 2-Name as appears on conveyance document
b A f)?(Y?PPar
A (Number and Street)' Address(Number and Street)
• PPneo}nn /n1 417670
Telephone Number E-mail
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 _ I J I •
® ❑ 1.Will this property be the buyer's primary ,d0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ ri 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5. Lino E 5.Wind Power Device
ddress(Number and Street) t ❑ 6.Hydroelectric Power Device
rllix'/3--ro I N7wIQ 6' Izon
❑ Q 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
❑ [ f 2.Does the buyer have a homestead in Indiana to be ❑ 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.
•" •: elna cou •• .
Address(Number and Street)
0 2 6 7 — /, - 023- 3oo- 000. 3 62 -o or
City,State ZIP Code County
ail
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
beippffi)ed.)v
liglature o Buyerl Signature ofBuyer2/Spouse
IC-n0IQS in. ,Th -� 7/d3 h3
Number License/ID/Other Number