HomeMy WebLinkAboutHomestead_Pegram INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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D..P,REP.ARER -- — — — — — ------
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 SEI:hER(SVGRANTOR(S)!_ __ - _ _-_i_ • w_= -:_- ---- . .
Curtis L Reynolds Sharon G Reynolds
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
305 N First St 305 N First St
Address(Number and Street) Address(Number and Street)
Owensville IN 47665 Owensville IN 47665
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an,��tom I lete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
&nature a -Icr Signature of Seller
Curtis L Reynolds 11/7/2014 Sharon G Reynolds 11/7/2014
Printed Name of Seller Sian Date(MM/DO/YYYY) Printed Name of Seller Sign Date(M.M/DD/YYY))
IF.BUYER(S)/GRANTEE(S)LAP,PLICATION.FORPROPERTY,TAX DEDUCTIONSa;IDENTIFY;ALL:ITEMS,THAT-APP,LY _ _ ___. .
Nicholas T. Pegram Jalia D.Pegram
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
13400 Prairie Dr. 13400 Prairie Dr.
Address(Number and Street) Address(Number and Street)
Evansville, IN 47725 Evansville. IN 47725
THE SALES DISCLOSURE FORM MAY DE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION X NO INDI I.
Q ❑ 1.Will this property be the buyer's primary 2 2 3.Ho If- -• .
residence? Provide complete address of primary Il 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑ 0 5.Wind Power Device
305 N First St
Address(Number and Street) ❑ jl 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County •
0 ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.1s 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.
13400 Prairie Dr, Not available in all counties.)
Address(Number and Street) --CCO
Evansville, IN 47725 Vanderburgh Co-18���-/D/ �l.l/ a
Ciry,State ZIP Code County
Primary property owner contact name E-mail