Homestead_Dike INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
ID.PREPARER j
Laura Rininoer 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
E.SELLER(S)/GRANTOR(S) , ' -- j
Robert L I ush Declaration of Trust dated 2/21/08 Ruth Ann Lush Declaration of Trust dated 2/21/08
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
308 Crestview Dr 308 Crestview Dr
Address(Number and Street) Address(Number and Street)
Owensville IN 47665 Owensville IN 47665
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".
lw tewX ,iL«-taekL-c 7--A.....<Z,k- ?..4.i/ ---r-,Z.,.- %.1•-4‘. /7:La.-Etx_
Signature of Seller Signature of Seller
Ruth Ann Lush Successor Trustee ?-.�2 -20/C Ruth Ann Lush.Trustee -0 S
Printed Name of Seller Sipn Date(MM/OD/YYYI•) Printed Name o(Seller n (MM D/YYYY)
IF.BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX•DEDUCTIONSr IDENTIFY ALL ITEMS THAT APPLY j
�andall K. D' Barbara A. Dike SEP 2 4 7015
auyerr- ame as appears on conveyance document Buyer 2'Name as appears on conveyance document
104 E Walnut St, 104 E Walnut St.
Address(Number and Street) Address(Number and Street)
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 • . CDNDErIUN
la ❑ 1.Will this property be the buyer's primary NI ❑ 3.Homestead-)
residence? Provide complete address of primary 1'J 4.Solar Energy Heating/Cooling System
residence,including county: ❑ TA 5.Wind Power Device
308 Crestview Dr
Address(Number and Street) ❑ TA 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson
O State IPCode - Counry ❑ 7.Geothermal Energy Heating/Cooling Device
2. Does the buyer have a homestead in Indiana to be ❑ la 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: •• • • ' •• • ee instructions for more information.
Not available in all counties.
Address(Number and Street)
24- 17 - o/ - Yo3 -tot. £A5'- 0),--
City,State ZIP Code Counry
•••• •ra• owner concoct name • all