Homestead_Wessley INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
ID?,P,RERARER . _
Laura Rininger Closing Coordinator I
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 I E-mail
ZE4SEELIER(S)%GRANTOW)Y`r — --v.--:7 77---.. -,-r-;-;.—.77-7—1 - "..2,: - ,
Dwight Smith I
Seller I-Name as appears on conveyance document Seller 2-Name as appear-son conveyance document
1300 Mary Iee Or
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
Telenhone Number I E-mail
Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and 2 plete s required by 1 is prepared in accordance with IC 6-1.1-5.5,"Real Prope i ty Sales Disclosure Act".
Signora of Seller ,/'/ Signature of Seller
Dwight Smith 12/10/2013
Printed Name of Seller Sign Date(H.M/DD/YY' Printed Name of Seller I Sian Date(MM/DD/YYYYI
InU,RER(S)%GRANTEE(S)TAPPEIGAT10NIF0RIERog eRTIYLTODEDUCT IONS,_IDENTIETdAIiLa:ITEMSiTHATt'APP,b -- —'"
Grant W.Wessley I
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
129 1/2 S Seminary St.
Address(Number and Street) Address(Number and Street)
Princeton.IN 47670
Telephone Number DUIY ENTERED FOR TA) 1iJN
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSEg11ff IkT.flnal acceptance for transfer
YES NO CONDITION YES NO CONDITION I day of
❑ 1.Will this property be the buyer's primary IS ❑ 3.Homestead I N.
residence? Provide complete address of primary ❑ pi 4.Solar Energy ?:?.- n /C y i . 111• Auditor
residence,including county: ❑ '�lu r J?17/se.
Q 5.Wind Power It •• 1- Gibson Count?
1300 Mary Iee Dr I
Address(Number and Street) ❑ 5 6.HydroelectricFPa t r vice _o{}4,1
Princeton,IN 47670 Gibson ❑ IN 7.Geothermal Energy I dT 1' g Device
City,State ZIP Code County 1
❑ 2.Does the buyer have a homestead in Indiana to be
❑ 0 8.Is this property a res' ential ren r rty?
vacated for this residence? If yes,provide ❑ Fl 9.Would you like tour r ents for this
complete address of residence being vacated, property via gi(g3iffrOp(Q8 Wa?ithttfillaiRation
including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) /]nC` �('�
Gry,State ZIP Code 6 _ P-0% _ 1O�l-co a3aS
County
Primary property owner contact name I E-mail