Homestead_Calvert INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER j
Cesar Berrios Closing Services I
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd, Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555
Ciry,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) - • I
Scott J.Mayer Kenton L.Mayer I
Seller I-Name as appears on conveyance document Seller 2-Nome as appears an conveyance I
document
1004 David Ct 1665E 600 S
Address(Number and Street) Address(Number and Street)
Haubstadt IN 47639 Fort Branch IN 47648
Under t • f antes of of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and ' plete requi LI w,Pnd is prepared in accordance with 6-1.1-5.5,"Real Property Sales Disclosure Act".
Allf Signature of Seller Signature of Seller
Scott I Mayer 12/20/2013 Kenton L Mayer 12/20/2011
Printed Name of Seller Sian Date 1MM/DD/YYn) Printed Name of Seller I Sian Date(MM/DD/YYYI)
F.BUYER S GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
ra K le Cali I
Buye -ramie as appears on conveyance document Buyer 2-Name as appears on conveyance document
7898 S Andee Lane I
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648
Telephone Number I 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 CONDITION
0 ❑ 1.Will this property be the buyer's primary ri0T❑ 3.Homestead
residence? Provide complete address of primary U LJ 4.Solar En `' g/ em
residence,including county: ❑ I
S.Wind Po D I
101 S Damosa Dr I
Address(Number and Street) ❑ N 6.Hydroel is evice
Haubstadt, IN 47639 Gibson l
❑ 0 7.Geothermal grgy�ig>dtO� Cooling Device
City,State ZIP Code County tt ll.. �?i 1t11 ?
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this proper aresidential rental property.I
vacated for this residence? If yes,provide ❑ 0 9.Would you lik o rece' -e t ments for this
complete address of residence being vacated, property via Ontact information
including county: below i rIAlehT63Rinformation.
Not avai able in bll counties.)
Address(Number and Street) /
.'CG - 18 - 3/O - 4al -p0o• 5a ( -00
City,State ZIP Code County I