Homestead_Reel INDIANA SALES DISCLOSURE FORM SDF ID: Page 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
Et SELLERS)/GRANTDR(S)L - __72- _ - _-_ -.-- - --__ -_._-----.
Green Maarinw Construction Inn
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
304 F SR 68
Address(Number and Street) Address(Number and Street)
Hauhstadt IN 47639
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the est of my owled_e and be ' f,is true,correct
an pl te�' ire by law,and is prepared in accordance with IC 6- 5.5 Pro r
male isclosure Act".
Sign ureff Seller , Sigmtur of5elfe
�/U� �- �'sY'-lS/.f//tni 7/25/2014 l/) /_ </�7�C-- - %— 7/25/2014
Printed Name of Seller Sian Date(MM/DD/YYY) Printed N e of Seller Sian Date(MM/DD/YYYI)
F.BUYER(S)/GRANTEE(S)..APPCICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFYALL ITEMS-THAT APPLY __ _____ _
Steven R. Reel
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1367 N. St.Johns Rd.
Address(Number and Street) Address(Number and Street)
Washington, IN 47501
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPER O IDENTIFY ALL OF THOSE T AP Y d A / �
YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead IIIIII q ���t�d
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating)C'dolm'g-S ZQJt4i
residence,including county: ❑ 151 S.Wind Power Device
302❑ Rock Rd f)
Address(Number and Street) ❑ 0 6.Hydroelectric PowenQ ' cktil —
Owensville, IN 47665 Gibson ❑ Q 7.Geothermal ErriPly`)-Wifr)gO3bliffggdNAQfl
City,State ZIP Code County
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ fl 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)
a6- l g-040-3°3 .. oo O• 930 () .:2.
City,State ZIP Code County
Primary property owner contact name E-mail