Homestead_Davis (5) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
•
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 arstadvantagetiile.com
City,State,and ZIP Code Telephone Number
E-mail
E.SELLER(SI/GRANTOR(S) >:`__ - ;"` : _ , - - °
Frir Fehrenbacher
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
j( IO_3-7_H.o.(11 u)oop AV
Address(Number and Street) Address(Number and Street)
X _DES P_LA(NES
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete . req,, ed' - t,r w,a d is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act",
i, Afie,..astei
Sigm.0 eo Sd1)J Signature of Seller
Eric Fehrenharher K04/13/1046;
Printed Nome (Sion DalitHH/DU/YYYY)'t Printed Name of Seller Sio to .I/DO •
F.B(A'ETS)/GRANTEE( APPLICATION.FOR.PROPERTYJAX DEDUCTIONS-IDENTIFY-ALLITEMSTHAT.APPLY,_ _ _ ',"�It.
Jerem Davis i 2-No,- i �q `�. ,
B. won cagey a cement - . n •r 2.Nat IS conveyance docv ent
d ess(Number and Street Address(Number and Street)
l\\�C‘CUt) ��I �� oO4: .
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF TIIOSE THAT APPLY.
YES NO CONDITION U CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary Nita .2— , r nergy Heating/Cooling System
tesidenc inclu r) .c n���� �� ❑ � 5.Wind Power Device
AilL• and q l ❑ Q 6.Hydroelectric Power Device
� � '��'�" + ��` ""�� IP� ] Q 7.Geothermal Energy Heating/Cooling Device
City.Store ZIP Code County
❑ 0 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 information.
Not available a II counties.)
Address(Number and Street)
(((���(((QQQ—/l/9...j/- do- OD/ 7/ ,
City.Stare ZIP Code County
Primary property owner contact none E-moil