Homestead_Winger INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER' _IL_-SJ , 0 ; .r '-__'"- -::7-7:43-7-1:4-71,1717":-.--- _ -.------- _ _ _-_' - _
Laura Rininoer Closing Coordinator
['taperer 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.SECI.'ER(S)%GRANTOR(S)��� - . • _ � __ , � __
David Russell Wrigbt
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1820 Aster Park Dr
Address(Number and Street) Address(Number and Street)
Winter Park FL 32792
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
d o plet a required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Q"�„•N.a
Signature of Seller (/ Signature of Seller
•
David Russell Wright Pin be
Printed Name of Seller Sian Dallle(MM/DD/YYYI) Printed Nome of Seller Sign Date(MM/DD/YYIT)
_F.BUYER(S)/GRANTEE(SL_;APPLICATIONEORRROPERTYTAXDEDUCTIONS-IDENTIEYALLL.ITEMSTHATRAPPLY _
Winger
PI
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1510 10th St.
Address(Number and Street) Address(Number and Street)
Lawrenceville, IL 62439 Np6
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. COG •
YES NO CONDITION YES NO CONDITION 1t a \
Q ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead ...1,, 7
residence? Provide complete address of primary ❑ IS 4.Solar Energy Heating/Cooling System '04,
residence,including county: ❑ Q S.Wind Power Device
515 N Main St
Addre s(Nitmber and Street) ❑ 0 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson El IS 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ TA 2.Does the buyer have a homestead in Indiana to be ❑ 0 S.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ TA 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) '/
City,State ZIP Code County
Primary property owner contact name E-mail