Homestead_Cottingham INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Teresa Fruit Closing Agent
Preparer of the Sales Disclosure Form ride
501 Main Street Bosse Title Company
Address(Number and Sweet) Company
Evansville.IN 47708 812-421-4000
ow,scam and ZIP Cede Telephone Number E-mail
jaSELLER(S)/GRANTOR(S)7C,:7011;:iiii:Lt-F;!2- zi":5SC-§3&.VF-461W5-03-:-W::;!:',Y;3-tcgiti::171.572.:;r-7,-*::::•f5:::4;; :k7a;M:1;::::tr-i3.g/4:::7::::a;:57,€!}.;:ti,
Vanderbilt Mortgage and Finance Inc
Seller I-Name as appears an conveyance document Sea-2-Name as appears on conveyance document
S-00 A-IrAoct_ -rad I
' Address(Number and Street) Addrers(Number and Street)
1N\QA 11);fit 7:4 37g04
Under pe ties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and com taisji;rlaw,and is prepared in accordance with IC 6-1.1-55."Real Property Sales Disclosure Act".
A 5tvoc
Signardre of Seiler Sign cure of Seller
N\\OM I e‘ l'V I DIPIN )Oka/4 9 I al
Printed Name ofSelter Masi Dath1104/0!WM'. Printed Name of Seller Sion Dare(MM/DO/MT)
.:F.:BUI'ER(S)/GRANTEE(SI7I'APPLICATION FOR4PROPERTYTAX-DEDUCTIONS=IDENTIEWALUITEMS:THATAPPLYsrici: §: i,
Connie Cottinham
yer I.Name
as appears on conveyance do-arm fiver 2-Name as appears on conveyance document
ri(Number ocnd Street) cp Address(Number and Street)
me e.kent
THE SALES DISCLOSURE FORM MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TIDS PROPERTY.IDENTIFY ALL OF TTIOSE THAT.a.Y.
NNYE±S I NO CON DMON Nt. YES NO CONDMON it.,' -IL T-1 ir -N.
NIL] 1.Will this property be the buyer's primary NEI 0 3.Homestead A 1
1
-[1 A )
residence? Provide complete address of primary 0 4.Solar Energy Heating/Cooling System
S-3-). LigihlectVuding county:
l'aNzi 5.Wind Power Device OCT 5 2014
'ThddrIns(Nom*and Sneetb\.. G - El s 6.Hydroelectric Power Device
WI r1Cerfl
City,State VP Code 1. Canny [J 7.7.Geothermal Energy Heatidg/Coo ' Rorke-
Nak,, , ,. ,
8.Is this propertPreSide,ntsakv 1 ertY?
D--:„Iii 2.Does the buyer have a homestead in Indiana to be H\I .A La-rn n,
vacated for this residence? If yes,provide 9.Would you like to receive tax stateinentirtortm
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) 0)6-1 V 1 N-a01-1 -00a . ifit -c)267
City,Stare ZIP Code County
Primary property owner weeper name E-mail