Homestead_Gentry JDIANA SALES DISCLOSURE FORM SDF ID: Page 2
FPREPARE TT.11 ,11.77 _:._E: 7:27'_c; '� 2i 'v -._
Laura Rininger Closing Coordinator
Preparer of the Sales Disclosure Form Tide
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 Email
SEL ER(S)/GRANTOR(S) r :` , .Y;` —7 �_ r Y `1_ ._w� -: . ;�`:7- 3 i:_'1
Ronald D Fryman Meghan Fryman
Seller 1-Name as appears on conveyance document Seller2-Name as appears on conveyance document
5033 F 1200 S 5044 F 1700 S
Address(Number and Street) Address(Number and Street)
ender penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
Ind complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
\Ole (X,LCt ►)' Ffl j lrallfl h 1t Ulrl P NAtif L nt 0 017,1.1,E( w1r 1(1,ti�1 l A I l l lD
Signature of Seller ` I/( n0) (J I F Signature:• eller
;nnald D Fryman U IU�•711I r t^'S l Meghan Fryman _
Printed Name of Seller Sign bate(MM/DO/YYYY) Printed Name of Seller Sign Date(MM/DDITITY)
?aBUYER(SI/,GRANTEE(S) �AP-P,L[CATION?F,ORIPFIOPERT:YITAXIDEDUCTfONS JIDENTIF,Y/CI IITEMSIITHAT_AP,P,L'Y' t ;;'�]
Dana M. Gentry Jason B. Gentry
Buyer 1-Name as appears on conveyance document Buyer 1-Name as appearson conveyance document
205 Hamed Ave. 205 Harned Ave.
Addres(Number and Street) Address(Number and Street)
tHE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION JUN 2 1 2016
jA ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4. Solar Energy He.9' : Cs� ,:..; . -
residence,including county: L I 'gR1101
5033E 1200 S ❑ 5.Wind Pot C : "t.IftOUNTY AUDITOR
Addres(Number and Street) ❑ 0 6.Hydroelectric Power Device
Haubstadt, 47639 Gibson ❑ jI 7.Geothermal Energy Heating/Cooling Device
City,StoteZ Code County
❑ 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 a-mail?(Provide contact information
including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
Clry,State ZIPCode ab-a 3 --13- )00001. 9 90-0ay
County
Primary property owner contact name E-mall