Homestead_Vaughn INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
'I)!.PREPARER�' ---'7717- L - - - —_
Laura Rininger Closing Coordinator
Preparer of the Sales Disclosure Form Title
•
7820 Eagle Crest Blvd Ste 201 Regional Title Services,LLC
Address(Number and Sheet) Company
Evansville, IN 47715 812-759-5555
City,State,and ZIP Code Telephone Number E-mail
bSEUER(S)`/.GRANTOR(STF t. :-_. _ _ .,,. -.--- -- -'
Danny Ray Smitha
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
101 S Willard St
Address(Number and Street) Address(Number and Street)
Ft Branch IN 47648
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and cpnplete as required by law,and ' e repared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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a __torso
Signature of S;-r / Signature of Seller
Danny Rey Smitha 717/2015
Printed Name of Seller Sian Date(M.M/DD/YYY1) Printed Name of Seller Sian Date(MM/oopYYt)
Fr,BUYERTST/GRANEE(S)i APP LICATIONIEOR%FROPERTYrTAX;DEDUCTI0N5zIDENTIr ALE ITEMSLT T'A _
+t 1
Calvin Bo Vaughn
BuyerI Name as appears on conveyance document Buyer 2-Name as appears on conveyance documer „
2130 Vine Ct.Aot.34 B Q /'s
Address(Number and Street) Address(Number and Street) 2p/
Princeton, IN 47670 0'/QS
YES NO CONDITION YES NO CONDITION
Q ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling System
residence,including county: ❑
ig
101 S Willard St. S.Wind Power Device
Address(Number and Street) ❑ 12 6.Hydroelectric Power Device
FL Branch, IN 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code - County
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 0 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.
Not available in all counties.)
Address(Number and Street)
- 303 -000.4/ 7-0016
City,State ZIP Code County
Primary property owner contact name E-mail