Homestead_Tyree (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
fD.PREPARER
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
Cie.,State,and ZIP Code Telephone Number E-mail
Michael J I uphke
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
541 W CR 900 S
Address(Number and Street) Address(Number and Street)
Under penalti f /erjury,I ter• r certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
anplet s quire•,•t'�•, �:d is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
ignature of Seller Signature of Seller
Michael J I uebke C-( ( • ft,
Printed Name of Seller Sign Date(MM/DD/Yrih Printed Name of Seller Sign Date(MM/DD/YYYY)
IF.BUYERS)/GRANTEE(S)._APPLICATION-FOR PROPERTY TAX DEDUCTIONS-.IDENTIFY ALL ITF�d$ FA 1
Ian R.Tyree \ `i D
buyer I-Nuniee Tippwrs on conveyance document Buyer 2-Name as appears on conveyance do
701 Strawberry Hill Rd.
Address(Number and Street) Address(Number and Street) MAY 1-2 2016
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YF.S_.--NB—eeHBR10N_
0 ❑ 1.Will this property be the buyer's primary (� ❑ 3.Homestead
residence? Provide complete address of primary U —hating/Cooling System
residence,including county: .❑ 0
619 F Morton St S-Wind Power Device
Address(Number and Street) ., ❑ TA 6. Hydroelectric Power Device
Oakland City, IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
Cleo,State ZIP de - County
111 L1 2.Does the buyer have a homestead in Indiana to be ❑ B. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ TA 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 in all counties.)
Address(Number and Street)
dl•/- / y- /8- 903 -cop. 4: s2-oo7
City,State ZIP Code County
Primary property owner contact name E-mail