Homestead_Gordon (6) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
EDviPREPARER ,: s^ ,rte +
Laura Rininger 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
t-E SELLER(SJ,/,GRAN,TOR'(S) ^-- cr.I< v 72":5.t7:"7-7 ---. — "n 7777E
Jason R I ehmkuhler Crystal I ehmknhler
Seller I.Name as appean on conveyance document Seller 2-Name as appears on conveyance document
519W State St 519W State St
Address(Number and Street) Address(Number and Street)
•
Princeton IN 47670 Princeton IN 47670
Under penalties of perjury,I hereby ce ify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
plleete as required by w, prepared in accordance with IC 6�1-5.S,"Real Property Sales Disclosure Act".
EA Z (/Y 1 N '2
`Sratur`eofSeller \ CSlgnaturcofSeller, 1
Jason R I ehmk,ihlpr HO� I Crystal Leh�6ler
Punted Name of Seller Sian ate(M oa/YYn) Printed Name of Seller Stan ate RIM
iF BUiYER(S)`/•GRANTEE(S)L`-_'AP.PCIGATION(EOR1$ROPER•TMAXID EDUGTIONS_`L IDENTIEX'ALIRTEMS_THATAP.P10..d. - 2
Tiffany C. Gordon Laura D. Powell
Buyer 1:Name as appears on conveyance document Buyer 2.Name as appears on conveyance document
2201 Ponderosa Place Apt. D -2201 Ponderosa Place Apt. D
Address(Number and Street) Address(Number and Street)
Evansville, IN 47714 Evansville. IN 47714
HE SAL DISCLOSURE FOR MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THI}P PER NO IDENTIFY ALL OF H PLY.
NO �
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead -
residence? Provide complete address of primary ❑ 12 4.Solar Energy HetiA/CiAlkilArstem
residence,including county: ❑
NI.519 W State St 5.Wind Power Device� ��c '
Address(Number and Street) ❑ 12 6.Hydroelectric R /
Princeton,IN 47670 Gibson ❑ 0 7.GeotherB� //$Q�g¢""^^""'^^O361Hl77"" /���edHllli vice
City,State ZIP Code County
❑ 12 2.Does the buyer have a homestead in Indiana to be ❑ 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: below.Please see instructions for more infpRmation.
Not available in all counties.)
Address(Number and Street)
t (Di -1D3 — c a:191 - O
City,State ZIP Code County
Primary property owner contact name E-mail