Homestead_Meyer (14) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
CHRISTINA LATHAM TITLE CLERK
Preparer of the Sales Disclosure Form Title
4703 THEATER DRIVE REGIONAL LAND TITLE
Address(Number and Street) Company
EVANSVILLE, IN 47715 812-402-4553 CHRISTINAc REGIONAL-LT.COM
City,State and ZIP Code Telephone Number E-mail
--:E.SEELER(S)%GRAiyTOR(S) --- ... ,. . _ -- - - .. . .- --- -_
Sinda L Easterday
Seller I-Name as r"pears on canveyan document Seller 2-Name as appears on conveyance document
,2o1 S• P A -• /05(
Vdress( Street) d1•76 I Address(Number and Street)
Vthatind 7el
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and con fete as re uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Sinda I Fasterday Oa-04-- /S
Printed Name a(Seller Sian Date(4A/DD/YYYY) Printed Name of Seller Sian Date CAM/DO/Mr
,Fa BUYER(S)/GRANTEE(S) AITLIGATION TFOMPROPERTY TA*DEDUCTIONSADENTIFY ALLdT.EMS THAT;APPLY
Ashley A.Meyer
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1te5 ' r4 t bookt-.)a.r$..
A es(Nuntberand Stret Address(Number and Street)
9rtnGp-Evn,-- -tJ Lfl(j70
THEN LES DISCLOSURE FORM MAY BE USED TO APPLI'FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE Tn T PP
YES NO CONDITION I YES NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead FEB 1 1 2015
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑ I t.
1113 S Virgil Blvd S.61 nd Power Device
Address(Number and Street) ❑ G. Hydroelectric '� eL�SeUNTY AUDITOR
Princeton, I< 7670 Gibson n is 7.Geothermal Energy Heating/Cooling Device
City,State Zl Code County
❑ C 2.Does the buyer have a homestead in Indiana to be ❑ 0 R.Is this property a residential rental property?
vacated for this residence? If yes,provide n ig 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)
aHa-Hg- 103 -Col. D(oa
City,State ZIP code County o�l
Primary property owner contact name E-mail