Homestead_Besing INDIANA SALES DISCLOSURE FORM SDF ID: Paige-2
Laura Rininger Closing Coordinator
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 E-mail
:E.:SELLER(S)/GRANTOR(S)'- -`-- - ,_ — —'-.. — - — -----
Michael.1 Davis Aide A Davis
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2?70 S 650E 2770 S 650 E
Address(Number and Street) Address(Number and Street)
Francisco IN 47649 Francisco IN 47649
Under penalti s of!Flu t d her y certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comp!. e a eq a aw,and is prepared in accordance with IC 4-1,1-• ,":eal Property Sales Disclosure Act".
i / ;
Signature of Seller Signature of tiler - •
Michael J Davis 7/15/7014 Aide A.Davis 7/15/2014
Printed Name of Seller Sian Date DMM/UD/YYYY) Printed Name of Seller Sign Date SMM/DD/YYYYL,
F:. NTEE(S)_APPLICATION.FOR,PROPERTYTAX DEDUCTIONS_IDENTIFY.ALL-ITEMSTHATAPPLY____ - ___
Jad.h Be in. CMegan S. Besing
: - •me as appears on conveyance document -Name ears on conveyance document
8087E 450 S 8087E 450 S . ' /
Address(Number and Street) Address(Number and Street) -
Francisco, IN 47649 Francisco IN 47649 !.i
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE T H.t
YES NO CONDITION I . •. 00 A.,
ig ❑ 1.Will this property be the buyer's primary F4 ❑ 3. Homestead '14/441b
residence? Provide complete address of prima _TI_P _ -: : - gy Heating/Cooling System ''
residence,including county:
0 51
2270 S 650E 5.Wind Power Device
Address(Number and Street) ❑ TA 6.Hydroelectric Power Device
Francisco, IN 47649 Gibson
7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 0 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 ❑ TA 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.
Not available in all counties.)
Address(Number and Street)
City State ZIP Code County
Primary property owner contact name E-mail