Homestead_Luttrell INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARES • -: -I >.'-- _ > ;, ic- ?�y ----- -- -- ----- —'-I
Laura Rininger Closing Coordinator
Preparer of the Sales Disclosure Form Tide
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
Peggy-I Whitten
Seller 1-Name as appears on conveyance document Seller 2'Name as appears on conveyance document
108 S West St
Address(Number and Street) Address(Number and Street)
Patoka IN 47666
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
as mplete as�required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Si a..,re6fSel r Signature of Seller
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Peggy J Whitten f_S
Printed Name of Seller Sign Date(MM/DD/MT) Printed Name of Seller Sian Date(MM/DD/YYYY)
.F,.BUYER(S)/GRANTEE(S).±APPLICATION.FORPROPERTY,TAXDEDUCTIONS=`IDENTIFYALLITEMSTHATAPPLX' 1
Albert F. Luttrell Grace H. Luttrell
Buyer 1-Name as appears an conveyance document Buyer 2-Name as appears an conveyance document
110E Vine St. 110E Vine St.
Address(Number and Street) Address(Number and Street)
Patoka, IN 47666 Patoka. IN 47666
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 SEP 1 6 2015
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ ig 4.Solar Energy Heating oolin ,ems
residence,including county: ❑ NI S.Wind Power
108 S West St l N COUNTY AUDITOR
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Patoka, IN 47666 Vanderburgh
7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
❑ Q 2. Does the buyer have a homestead in Indiana to be ❑ 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)
-Dq- a5-ID1 - 000•IS 11-o o
City State ZIP Code County
Primary property owner contact name E-mail