Homestead_Mcintyre (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:.PREPARER',
Laura Rininoer 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
ESELL'ER(Sj%GRANTOR(S); - ___- _
Brett D Raker Jennifer R Raker
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
4003 F fleerland Dr 4003 E Deedand 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 cco plete as requir�eedC by la v,and is prepared in accordance with IC 6-1.1-5.5,"RC\e�al Property SallesQDissclosure Act".
Signature of Seller Si a.re of Seller '
Rrett fl Raker 12/5/2014 Jennifer R Baker 12/5/2014
Printed Name of Seller Sian Date(MM/00/YYrvl Printed Name of Seller Sian Date(MM/DD/YYYn
,F..BUYER(S)/GRANTEE(S)-_APPLICATION.EOWPROPERTYJAX.DEDUCTIONS_IDENTIFY•ALL:ITEMSTHATAPPCY '
Jason G. McIntyre Karyn E.McIntyre
Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document
2814 N.Stockwell Rd. 2814 N. Stockwell Rd.
Address(Number and Street) Address(Number and Street)
f tr,tiOC CONDITION I YES NO CONDITION DEC 1 2014
a- ❑ 1.Will th si property be the buyer's primary Ir ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating oling s
�J
residence,including county:
L(G) S.Wind Power Device INIAm"t
� E Y1A I�Lt ( . • ❑ � COUNTYAUDITOR
,Address(Number end Street ❑ 0 6,Hydroelectr e 1
R au lo --c-r, (ft! j\! LOU'7J') '')I bI ❑ 7.Geothermal Energy Heating/Cooling Device
city. ZIP Code __ County
mesteaain Indiana to be ❑ 0 8.Is this property a residential rental property?
❑ 2.Does the buyer have a ho
vacated for this residence? If yes,provide ❑ 12 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
` includin -� below. Please see instructions for more information.
1d� 1 N :See` Tr( }i -■J(�i ` /� l1^ ` Not available in all counties.)
;Address V Ct4lb5er`rI It-12 RI ( ' VC64--( `J"\ �2(O'c 3 —)1 RD0MotQIC900-DaWF
City.State ZIP Code ��1llYL_ County
Primary property owner contact name E-mail