Homestead_Ortiz INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
<D:PREPARER _ .. . A *:..711:;., _- • . _fi- 7..'.'-r-' . , : -- . - ..`±:4
Scott E.Lance Title Agent
Preparer of the Sales Disclosure Form Title
600 N.Weinbach Ave. Foreman Watson Land Title
Address(Number and Street) Company
Evansville IN.47711 812-402-4555 slanceaafw-It.com
City,State,and ZIP Code Telephone Number
E-mail
•E SELL ER(S)%GRANTOR(S)--- sP --s. . ._` _r. _>.i .z . :L ..7._4 -r.t__,` `?v -�+--d'` 1 ,_.: �
James L Wade Kenya Wade
Seller I•Name as appears on conveyance document Seller 2-Name as appears on conveyance document
l{ I () S (o W , �.24,l,o,.� t - fro sL 3 M ; a al p r .
Address(Number and Street) Address(Number and Street)
1J -uA0\p t
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and o plete as re uired��b�rr�,law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
X: t�{�-y,�/eo /i�ic ct x �,„ ui ,o,.e_0
Sig enure ofSe)ler Signature ofSelle
,la es 1 Wade O /2e 13 Kenya Wade �l�79 0
Printed Name of Seller Sian Date(M.14�/oo/rrrvl Printed Name olSeller Sian Date fMM/DD/YYY?)
!F.BUYER( %GRRANTEE(S).=APPLICATION FOR.PROPERTY TAX DEDUCTIONS IDENTIFYALLITEMS'THAT.•APPLY `.1
p/Erica J.Ortiz >
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
6940 S.Tara Lane
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 .
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 Ng CONDITION
NI ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Ener e 0 0 S m
esidegce,
( 9 � ina cludinunty ❑ 5. VindPowerDe�t er Ri
g Z0�3.
/ress( bet and5ve t)M 9 474 ./� q�� ❑ 5 6.Hydroelectric Power fYevice
City,State PCOde Y �`,�' County
❑ 0 7•Geothermal Ene Heati g/ o ' evice
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this grope tal property?
vacated for this residence? If yes,provide ❑ 0 9.Would OW tI ATt�x'�g�ITiPas 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) //
City,State ZIP Code County
V.?' /3 - A00 - 600 e x S"1 -0
Primary prop erconeact name-