Homestead_Kuykendall1\DIA\A SALES DISCLOSURE FORJt SDF ID 26-2009-1000949
.PREPARER . . . .. _ .. � . , �... -
�LISAA CARTER REGIONAL TITLE SERVICES LLC
Rrfnrer ofrM Saln Uisrbavir Furm
915 MAIN STREET
AMresr /.�'um.Mr mx75aretl
EVANSVILLE, IN 47708
Cirv, Sra:q md LP Cm(r
WESLEY SNEED SHUPE
Se/fe. -:\'ame m apprars on mmnvnrr dmuum
12 HUNTERS RIDGE DRIVE
AdAress (.�'vmMr mxf Smetl
MT VERNON, IL 62864
Circ. Sra�r, rs.d LP CMv
(
CLOSING AGENT
REGIONAL TITIE SERVICES LLC
1 � Page? .• . .
(
E-irail
SNlrl -.1'are m ap�Kars m romr�vnce docvmerv
AAd.ess ITLnrblrardStrccrJ
Lin•. Smre. o.J7JP Cade
Trl �anr,Vnmbe. E-nmil
penal[ies of perjur�t 1 hereby certif}� tha� this Sales Disclosure, ro the best of my kno�vled�e and belief, is true, cormct and
te,as required bZ law', and is pre,pyry� in accordance wi[h IC 6-I.1-i.5. "Real Property Sales Disclosure Act".
WPC��, c„PA,� �hu�de iz-i�-zonq
PnveJ\'nmeoJSe(/er SiynDa+r(.4f,11�ODR7llJ Prin:�.Yameo/Selle� SignLl�rc/1f.lL'DU/f)YY/
?.�lT]`.ER(S)/GR:a\-TEE(S)-�PPLIG�"CIO\FORDEDUCTIO\S�VD�CREDITS-IDEil IF�. ALL'ITE�ISTHATAPPLI'-� �
NESTON LEE KUYKENDALL KARLEY JENEE KUYKENDALI
Bv�xr-A'�n:esa comnonrrdonv.:rm Bv�e-1'aneluoppear.r ...nvnreducnncem
7848 W STATE ROAD 165 7848 W STATE ROAD 165
.LYlrev (,�'umbrr md Armj Adfrcss /.\1nr'her oal9rxfl
OWENSVILLE. IN 47665 OWENSVILLE, IN 47665
(
TebpM�re,V�uabn E-mail TrfeyhoneA'um1w� E-nmil
FOR�i �6�Y IiE USF.D TO APPLI' FOR
ri I. �Vill this propem• be the bucers primary re>idence? Provide complft�
addresi of primary residence, includine cuunn�: �
7848 W STATE ROAD 765
Ad}ress (ASn�er a.vl &rvnJ
OWENSVILLE, IN 47665 Gibson
Cirv, Smm. a.ulZ/PCafi Comm�
[i ?. Dces the buyer hm�e a homestzad �o be racated (or this midence? IP
yes. provide complMC address of residence vacating, includine munR':
AdLrss (AtrmMr mW Sncetl
Ciry�. Sran, ard LPCaAe Coeuu��
unaer penames m pequrr, i nereoy cert�n' mac ims �aies u�snosure, cu
required bc lae�, and is prepared in� accordance wi[h IC 6-I.1-55, "Real
and Iariver's License/o�her numbyr� are qut ne/epsan' if no Homes[ead I
�
r 3. Homesicad
$ysrem
r� 5. N'ind Powcr Devicr
r, 6. Hydroeiectric Poaer De�•ice
r 7. Gcothertnal Energy Heatine�Cooline Device
J
r 8. Is ihis propeT� a residentinl ren�al property?
[; 9. Would you like ro recieee tas statements tor this propem• �ia
e-mail? (Pi�o��ide tonmct in(ormmion Fe(ox�. Please see J�e
iramictiorts far more infonrm(ion. Kof m'ailnble in oll coumies./
r%lo-/%-//-o?OD-00/.��"D-Q�
��m�
J mp know�eage ane beuet, a true. correct ana comp�ete us
Sales Disclosure AcP'. (\o[e: Spouse Informution, Social Securitc
is heinE filed�) .
—
�