Homestead_CollesINDIANA SALES DISCLOSURE FORM SDF ID:
'U:`k'Kht'AKtK.,_
Laura Rininaer Clos
Preparer o/Ne Sa/e Dlydosvre Form Ti4e
7820 Eaale Crest Blvd Ste 201 Reoional Title ;
Addras (Num6er andStrre[) Company
Evansville. IN 47715
Mirharl A Hillehrandt
Sellerl �Nameasappearsonconveyantedotument
20A E Ponlar Rt
Addrect (Num6er and Shee[)
bw ncvilla IN 47665
Ciry, Sm[t andLPCOde
Shcer 2- Name as appears on conveyanre dxvmenl
IA F Popf�ar St
Addrexs (Num6er and 5[ree[)
penalties ofRerjury, I hereby certify that this Sales Disclosure, to
mplet s re �i ed by nlaw, and is prepare m1 /attordance wi�
` �Q�//. _ �JI:`'/ /i-�� 7 �� S � ��:
�arson l Colles
Buyel 1- Name as appmrs on ronveyantt documm�
3131 Tamarack Ct Aot 1009 3131 I amaracK c
Addrm (Num6tr md SnntJ Add�ess (Num6erand
Evansville IN 47715 Evansville IN 47i
CiN.Sm[
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of my knowledge and
om m�veyance document
THE SALES UISCLOSURE FORA1 MAV BE USED TO APPLY i0R CERTAI V DEDURIO\5 FOR TI115 PROPERTY. IDEYTIFY ALL OF THOSE
QJ � 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, intluding county:
9f1R F Po�lar Ct
Addrm (NUmber and5veet)
Owensville. IN 47665 Gibson
Ciry.StateZlPlade — . . Counry
� Q 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Add�ess(NumberandStrreQ �
Ciry.SmuLPCade Counry
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E-mail
true, correct
re Act".
3. Homes[ead "</N'�Y�,�Ti?�
iq �
4. Solar Energy Heating/Cooling S�s1¢�p
U
5. \Nind Power Device I /TOR
6. Hydroelech-ic Power Device
7. Geothermal Energy Heating/Cooling Device
8. Is this property a residentlal ren[al property?
9. Would you like [o receive tax statemenLS for [his
i
property via e-mail? (Provide rontact informafion
below. Pfease see instructions for mare information.
Not available in qH [ounties.J I
Under penalties of perjury, 1 hereby certify that [his Sales Disclosure, to the best of my knowledge and belief,
and complete as required by law, and is prepared in actordance �vith IC 6-1.1-5.5, "Real Proper[y Sales Discl<
Spouse informa[ion, Social Security and Driver's License/Other numb�e1rs are no[ necessary if no Homes[ead �.
bei�g filed.) �� ,9,�
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$IgnaNre oJBvyrrl SignaNre ofBu`yer2/Spovse
r........, i r..ne� � Z/�� I��
Pnnted Legal Name of Buyer 1 Sign Da(e (MN/OD/YYYYj
ast5 igittaJBuyer7Drive/s [a LastSDigicsofSocial5ecuriryNum6er
Linnse/!D/Other Number
�\,
LastSdigiaoJBuyer2/SpouseDriver's Smt LastS
Num6er License/(D/O[herNum6er
Emall
true, correct
�,re Act". (Note:
du[tion is