Homestead_Atchison (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.•PREPARER . - , . . - - .,
Jamie Perry Closing Department
Preparer of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd,Ste 201 Regional Title Services. LLC
Address(Number and Street) Company
Evansville, IN 47715 _ 812-759-5555 iamie.penveregionaltitlellc.com
Ciry State,and ZIP Code Telephone Number E-mail•.E.SELLER(S)/GRANTOR(S) ' _ - -.•
David R Mull Amanda R Mull
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
7601 W125 S 7601 W 125 S
Address(Number and Sweet) Address(Number and Street)
Owensville IN 47665 Owensville IN 47665
Under penalties per' I e by certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct
and complete as r quir d y/ `
a 1,and is prepared in accordance wit C 6-1.1-5,5,"Real r oQe Act".
A ".
Signature of Seller I Signature of Seller
David R. Mull 3-- r4 - apt L' Amanda R Mull r -1-2-, 01\-1
Printed Name of Seller Sian Date(H.WDD/YYIT) Printed Name of Seller Sian Date(HH/DD/YYYY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY - -
Jason L.Atchison 5kue I-J. Atc ;soil
Buyer)-Name as appears on conveyance document Buy 2-Name as appears on conveyance document
5377 Oakwood Drive 53 17 o-,A i.,eoel
Address(Number and Street) Address(Number and Street)
Newburgh, IN 47630 AA. 70 `/76'30
-
YES NO CONDITION
J ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead MM
residence? Provide complete address of primary ❑ 0 4.Solar Energy N'eeattidg ooi%System
residence,including county: ❑ F Wind
7601 W 275 S 5. Power ice
Address(Number and Street) n al 6. Hydroelectrpi�PFY01��t�I y
Owensville, IN 47665 Gibson ❑ 0 7.Geothermal Energ-tleafuy&dal9 Device
City,State ZIPCode County
Q ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 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.
6292 W Old Princeton Rd Not available in all counties.)
Address(Number and Street) / '�^ (� f
Owensville, IN 47665 Gibson ;b -'() -ac• Oo- 1.090-EA7
City,State ZIP Code County f` v
Primary property owner contact name E-mail