Homestead_Wright (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER . - - _ _ •-_ - _._ - __.
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 CHRISTINA(WREGIONAL-LT.COM
Ciry,State,and ZIPCode Telephone Number E-mail
E.SELLER(S)/GRANTORfS)- . . - _ .. .` _ _ _ __._ -- ___ -_..
Jeffery T Mullen Carolyn Mullen _
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
O/5/V. 1JF n�k1(� /{lit �j IID W u)c C r Si 4/O 1 I-
Address(Number and Street) Adfrets(Number and Street)
k14-
Under penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and 's.prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
_: no. f e' Signature of /�
Jeffery T lea ' L 15 Carolyn Mulle me
1�l i 't S
Printed Name of Seller Sian Date L4M/D0/YYYI Printed Name of Seller Sian Date(MM/DD/YYril
P.BUYERS)/GRANTEE(S)-APPLICATION FOR.PROPERTY TAX DEDUCTIONS=IDENTIFY_ALL ITEMS THAT APPLY.__ :._.
Lane M.Wright Julia K.Wright
Buyer I-Name as appears on conveyance document Buyer 2-Natn.egs appears on cane ancadocument
. .30ci S Izzs 3cq 3 1225 t
Address(Number and Street) Address(Number and Street)
Oale-Uiid C ■f� 1i 1171& OcK IcrOk erki \1\ Lk1l.VUO .
THE SALES DISCLOSURE FOR)I MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDEN'TIFt'ALL OF THO tIA AP Y. J\},i
YES NO CONDITION
u I YES /\0 CONDITION
111 1.Will this property be the buyer's primary ❑ 3. Homestead JUL residence? Provide complete address of primary �IIN 4.Solar Energy Heating//Coo ((II nng 5y stem
residence,including county: ❑ 0 S.Wind t.
309 S 1225E nd Power Devic _
Address(Number and Street) ❑ 5 6.Hydroelectric Pot%• .
Oakland City, I •47660 Gibson n 5 7.Geotherm2IP49#RIAMPA°bIIIRSIOce
City State ZIP ,e County
❑ Z.Does the buyer have a homestead in Indiana to be ❑ 12 8. Is this property a residential rental property?
vacated for this residence? !ryes,provide ❑ IS 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) 431:3` I4_0'{'A g `O_W I. 916- D TVl b
City,State ZIPCode County �
Primary property owner contact name E-mail