Homestead_Foster (2) DIANA SALES DISCLOSURE FORM SDF ID: Page 2
)?P.RE PA R ERW"ott::::W.a4WIRreaRgarriatat -I' -f- I e' airagesitlf.--Sraf&T.M-gar-;,,,--4M
Laura Rininger Closing Coordinator
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Reaional Title Services, LLC
Address(Number and Street) Company •
Evansville, IN 47715 812-759-5555
0°4 State,and ZIP Code Telephone Number E-mail
t..StilliEkiS)7.61`CANT.0 EttSftgar----T=C :TS-atraW,- :-/X-Ca3.a7W,.— ari ----
Phillip J Brundage Monica ! Brundage
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
105 F Clark St 105 F Clark St
Address(Number and Street) Address(Number and Street)
Owensville IN
hider penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
tnd complete as required by law,and is prepared in accordance with I s.----. -5.5,"Rea 'rope e- ales Disclosure Act".
C. l ----t—,-- ---, .1-7_ --- ■i's-..
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Signature of Seller . -..- Signature of Seller
'hillip J Fin indage 5/2.4-ki 'C-s Monica L Brundage 5/2`4/4.—
Printed Name of Seller Sian Date(MM/01)/YYYY) Printed Name of Seller Sian Date 0114/DO/YYM
.17--!BUYE 14SW,GRANTEE(SMERInGATION:EOR1PF(0 RE RIWITAX4D E OUGTIONSMI OE Nal EWA E$11:E M5ITHATM P,RhYra-E.?,M
Bruce R. Foster Shirley L. Foster
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears an conveyance docume
609 S.9th Ave. 609 S. 9th Ave.
Address(Number and Street) Address(Number and Street) Ii
Haubstadt, IN 47639 Haubstadt, IN 47639
. ,
HE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THcgirsTHAT 0 Y..
1 •
(ES NO CONDITION I YES NO CONDITION 80•A• . iii . .
A.-17.47,
TA 0 1.Will this property be the buyer's primary TA 0 3. Homestead -. '
Atm
residence? Provide complete address of primary Ei si 4.Solar Energy Heating/Cooling SyMetbii,
residence,including county:
0 TA 5.Wind Power Device
102.37 S Ouail Crossing
Address(Number and Street) 0 SI 6.Hydroelectric Power Device
Haubstadt, IN 47639 Gibson n 151 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
111 8. Is this property a residential rental property?
0 TA 2. Does the buyer have a homestead in Indiana to be fl ti
vacated for this residence? If yes,provide 0 SI 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)
2. 4, -Th.' -1/45 to -36c ow 0? e 64, °act
City,State ZIP Code County