Homestead_Martin (16) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Laura Rininger Closing Coordinator
Preparer of the Soles 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:SELLERS)/GRANTOR(S)
Gary A Trihle Jnyre A Trible
Seller I-Name as appears on conveyance document Seller 2.Name as appears on conveyance document
12200 S Brooke Dr 12200 S Brooke Dr
Address(Number and Street) Address(Number and Street)
Hauhstadt IN 47639 Hauhstadt IN 47639
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and com fete as required by law,and is prepared in accordance with IC 6-1.1-5.5 "Real Property Sales Disclosure Act".
Signature ,Seller Sig . ofS leer
nary A Trible 10/6/2014 Joyce Trible 10/6/2014
Printed Name of Seller Sian Date(MM/00MYY) Printed Name o(Seller Sign Date(MM/DO/IYYYI
F.BUYER(S)/GRANTEE(S)-APPLICATION,FOR•PROPERTY TAX DEDUCTION$r,•:IDENTIFYALL-ITEMS THAT APPLY:,
Lynn L.Martin Lori M, Martin
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1207 Bowden Dr. 1207 Bowden Dr.
Address(Number and Street) Address(Number and Street)
Evansville, IN 47725 Evansville. IN 47725
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TIIIS PROPERTY. IDENTIFY ALL OF THOSE THAT-APPLY. 2014
YES NO CONDITION I YES NO CONDITION �tJ)
5 ❑ 1.Will this property be the buyer's primary 5 ❑ 3.Homestead "jj A
residence? Provide complete address of primary ❑ 0 4.Solar Energy H"IIii, titi ystem
residence,including county: ❑ si S.Wind PoGE4�}er'srce'�UNTY AUDITOR
17200 S Brooke Dr
Address(Number and Street) ❑ 5 6.Hydroelectric Power Device
Haubstadt, IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City State ZIP Code County
5
5 ❑ 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 ❑ 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.
1207 Bowden Dr. Not available in all counties.)
Address(Number and Street) I
Evansville, IN 47725 Vanderburqh a Cb -).3-Re - 100 -60,2, oas: Day
City,State ZIPCode County
Primary property owner contact name E-mail