Homestead_Cundiff INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
I.D.PREPARER
CHRISTINA LATHAM TITLE CLERK
Preparer of the Sales Disclosure Farm Title
4703 THEATER DRIVE REGIONAL LAND TITLE
Address(Number and Street) Company
EVANSVILLE, IN 47715 812-402-4553 _.. CHRISTINA @REGIONAL-IT.COM
City,State,and ZIP Code Telephone Number E-mail
-E.SELLER(S)/GRANTOR(S) - __ -'_. ' , _ "_ - ',};` ., ,._ :.. ' - .,_ :
Aaron Josh Conklin
Seller l- ' eycaq a on canv ance document Seller 2-Name as appears on conveyance document
X (I\ \a )
Address(Number and Street) Address(Number and Street)
City.State,and ZIP Code City,State,and ZIP Code
A
- Telephone Number E-mail _ Telephone Number E-mail
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".
.
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES 0 CONDITION ON
El 1.Will this property be the buyer's primary � ❑ 3.Homestead
residence? Provide complete address of primary S. lar Energy Heating/Cooling System
residence,including county: ❑
7890 S 45 E 5.Wind Power Device
Address(Number and Street) ❑ SI 6. Hydroelectric Power Device
Ft. Branch. IN 47648 Gibson ❑ ri 7.Geothermal Energy Heating/Cooling Device
City,State 7ZI�P Code County
❑ 141 2.Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 151 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: b• • . . ' - ' . n.re information.
Not available in all counties.)
Address(Number and Street)
26 - /9 - < ? - .toy - 00/ . 3o8 - o,2-6
City State ZIP Code Coun-
Primary propertyownercontact name E-mail