Homestead_Odowd INDIANA SALES DISCLOSURE FORM SDF ID: _ Page 2
D.PREPARER • t
Lynette Murray Processor
Preparer of the Sales Disclosure Form Title
4962 Lincoln Ave First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715 812-490-8485 theteam(afirstadvantacietitle.com
City,State,and ZIP Code Telephone Number
E-mail
E.SELLER(S)/GRANTOR(SJ - _,. _ j •
Daniel W O'Neal Debra F O'Neal
Seller I Name as appears on conveynnir document Se'r2-Name as appears on conveyance document
fires (N ber ant StreeA'�(,III) I1v 1� Address s(Number and Street)
l (UJ&,12L 1.1 �(p D
_
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
1dd co plete as required by law,and is prepared in accordance with 6-1.1-5.5,"Real Property Sales Disclosure Act".
�I �M/.P 1' ��. �J �itU' lati'2CL - 0'
Signature ofSeller I a )�� Signature of Seller (� /
Daniel W O'Neal `11 ( ' MIS Debra F O'Neal -1 / i I/ZV L l
Printed Name of Seller Sian Dare(MM/Oa/YYYI'( Printed Name of Seller Sia Date(M.M/DO/YYYY)
F.BUYER(S)JGRANTEE(SJ-APPLICATION FOR PROPERTY.TAX-DEDUCTIONS-,IDENTIFY ALL-ITEMS THAT APPLY: ;° ,
David M O'Dowd Andrea R O'Dowd
BuyUt )Name asappeorsa nveyanreoe menti Byyyr2-Name as appears on conveyance document
Address(Number and Street) I Address(Number and Street)
Edo svtllD IN) 111I
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 0 CONDITION J 1 1 J 1'T
❑ 1.Will this property be the buyer's primary [ ❑ 3.Homestead ,,LSy
residence? Provide complete address of primary ❑ 121 4.Solar Energy Heating/Cooling System
-esidence,including county: ❑ S.Wind Power Devic
LilS Lain°t t ®CT 1g 2015
Address Nu'mberand.Street) ❑ 12] 6. Hydroelectric Power Device
�ctOak eih1 11■ q-RN 0 (}IbSo(LI ❑ izi
7.GiNhermal Enery'I eatie'i e grevice
City,State ZIP Code County i' /rt�Jli r
❑ Q 2.Does the buyer have a homestead in Indiana to be ❑ ri 8.Is this Pt' l [; 4 Iq e` Ft WA aB1 hrty?
vacated for this residence? If yes,provide ❑ 0 9.Would you IiRi o receive tax statements for this
complete address of residence being vacated, property via e-maiiN'rovide contact information
including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) /y�
City,State ZIP Code County 010-11- -14 -- rya - coot / as-0j
Primary property owner contact name E-mail