Homestead_Hartley (7) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER i
LANA C-HARPER CLOSER
Preparer of the Sales Disclosure Form Title
19 NW 4TH STREET STE 500 TOTAL TITLE SERVICES- LLC
Address(Number and Street) Company
EVANSVILLE.IN 47703 812-463-8485
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(51/GRANTOR) - .. - -
IANICE I DEFEI ICE TRUST
Seller l-Name as ap ears an conveyance document Seller?-Name as appears on conveyance document
colt- Fwee ( C ,t /tc
ress(Number and_Street) Address(Number and Street)
P.40. wzeafttc /A' V2,70
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
(n- -;., -1-e .c-c- .X� �.�C de-4.--e- ✓iZt t4tE_C
i tare of Seller r Signature of Seller
',70niPp. L.Diel/ce 7ras/e� 5-7/5
Printed Name of Seller Sian Date D:MIOD/YYWI Printed Name of-Seller Sian Date IMM/DaAYYY1
5F:-BUYER S1 GRANTEES .5 APP,uICATIONipOR:PROPERTYliTAX DEDUCTIONS_iJDENTIFY kLI?ITEMS,THAT APPLY z4 -sn-, 'a,
STEPHEN HARTLEY ELAINE HARTLEY
Buyer I-Name as appears an conveyance document Buyer2-Name as appears or.conveyance document
3l4 F.LI.}r Uc Sb
'tigress(Number and Street) Address(Numbe and�J�y
K ortot°iv4_, /!J L/ 7�70
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION MAY 20 7015
Q ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead
residence? Provide complete address of primary ❑ Q 4.Solar Energy Hea /Co _ . stem
residence,including county: I
1,l / 5.Wind Power Dev
Iry r -(C1Z&-10:14 n ❑ Q 9IWSPO COUNTY AUDITOR
j ess(Number and Street) ,/ y�{./� , � ❑ Q 6.Hydroele tnc rower Device
1 �7P2hp: [�lrL /�U Y-7�!'7�I •�-<-Ed'�U/ ❑ Q 7.Geothermal Energy Heating/Cooling Device
Ciy,State ZIP Code County
Q ❑ Z.Does the buyer have a homestead in Indiana to be ❑ Q 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ Q 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.
2y ith-i.v? 3-{ Not available in all counties.)
ns;Alum�b and Sti treet)%/ J 4 17 c,` Pthlon a - 1a-o -1 oa -DOD•4 -✓ ^?
City,State ZIP Code County
Primary property owner contact name E-mail