Homestead_Caniff INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
R?PREPARER : �' - — — — —{ — —
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
EsEs;SELET (S)Y/.MNTOR(S)n T t tr a -7777. .-71
Anthony D Abbott Angela D-Abbott
Seller I•Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1915 Whispering Hills Rd 3018 Hawaii Dr
Address(Number and Street) Address(Number and Street)
Oakland City IN 47660 Fvansville IN 47710
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and corn I ete as required/by la% ,and is prepared in accordance wits C 6-1.1-5.S," eal Pr p arty Sale isclosure Act".
n (Ut7 I 1 l .�rnr�p9k (S4113
Signature of Seller s Signature of Sitter
l i l n-t-rlJR1 0- l o4--F 2/20/2015 Angela D.Abbott 2/20/2015
Printed Name ofSeller Sian Date(MM/DD/YYYY) Printed Name ofSeller Sian Date(MM/Daff?)
,BUYER(Sj`/.GRAN;TEE(S)aAPPIICAT:IONIFORi$ROPERTil'{TAMEDUETIONSS IIDENTIFY?AEGT.EMS;THATdAP,PLYr-' .]
Colt Mitchell Caniff
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
110 First Ave.
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead I
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: FE
S.Wind Power Device FEB
2 5 2015
1915 Whisnering Hills Rd
Address(Number and Street) ❑ Q 6. Hydroelectric Power Device
Oakland Citv, IN 47660 Gibson ❑ 0 7. Geothermal Enera ia; •':•t a%e+'•:ii g Device
City,State ZIP Code County (S(p WAWA RAR- M E AT ?
❑ 12 2. Does the buyer have a homestead in Indiana to be ❑ 8. Is this prope I y.
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)
a ),- 13 a3 - /Of 168 -1)(
City,State ZIP Code County
Primary property owner contact name E-mail