Homestead_Dilbeck (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER • -- . .
Sherri S Hudson Closing Manager
Preparerof the Sales Disclosure Form Title
501 Main Street,Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville, IN 47708 812-421-4000 sherri.hudsoneieffbosse.com
City,State,and ZIPCode Telephone Number E-mail
E.SELLER(5)/GRANTOR(S)
• .
Holly M (Maxey)Neal
Sd/erl-Name as agoegrs on nv- • ce docvr9ent Seller 2-Name as appears on conveyance document
/AVA( C
. 'dress(Nu and Street) /J Address(Number and Street)
./,ice - /u 7z'
Under pe •(ties of perju• ,I he by c ify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and corn• e .s requir,d by is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
ure DIS. • J Signature of Seller
er
U 4.Solar Energy Heating/Cooling System
residence,including county: ❑
S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
city,s Pcaee County ❑ 0 7.Geothermal Energy Heating/Cooling Device
❑ 0 8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be I
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 cozity: below.Please see instructions for more information.
/A53 lc i'004 Not available in all counties.)
AtTLvs(Number an¢ttrepet)w,Iek /AI Y��Y gibs,,,SI
oat he F,WV� o LTV•�.�` A 6 _ .4 .t - /,? _ 300 - oo /. 9, , _ 0 1
City.State ZIP Code County
Primary property owner contact name E-mail