Homestead_Napier (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
CHRISTINA LATHAM TITLE CLERK
Preparer of the Soles Disclosure Form Title
4703 THEATER DRIVE REGIONAL LAND TITLE
Address(Number and Street) Company
EVANSVILLE, IN 47715 812-402-4553 CHRISTINA(®IONAL-LT.COM
City,State,and ZIP Code Telephone Number E-mail
±E:SEELER(S)%GRANTOR(S)`_ w f✓' _ ; - -.._.. .L-: r■:■ ---��-
Eloise F Reeves
Seller I-Name as appears on con veyance document Seller 2-Name as appears on conveyance document
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ress(Numberand treet)g-� Address(Number and Street)
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Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
_--.- J� .e_e_cte-
SignatureofSeller l\ - .7-9- ! _ Signature of Seller
Flnise F Reeves �7=ll`'( Q�(�'
Printed Name of Seller Sian Date(Mm/DD/Yen) Printed Name of Seller Sian Date(M.M/Da/Y1111
:F:BUYER(S)%GRANTEE(S)>cAPP.LICATIONF.ORPROPERTYLTAXDEDU@ TIONSYIDENTIFYALLITED1SxTHATAP.PLY _ _- ______
Matthew L.Naoier
By//ess.1: ame asap rsonconieynnce do/�/ment /�, Buyer 2-Name as appears on conveyance document
Address ,umber and Streetf�Y F Address(N'umber and Street)
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THE SALES CLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE 4'Y. eat, ��-
'YFS9'/_NO-- (Ca CONDITION I`Y�ESV OND'ITON CQ yi V
❑ 1.Will this property be the buyer's primary L 1 LJ 3.Homestead Vil),"i
residence? Provide complete address of primary ❑ 12 4.Solar Energy Heating/Coolin16vstem
residence,including county: S.Wind Power Device r.)i�0
719 S Prince St. n .
Address(Number and Street) ❑ 12 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7,Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 B.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 in all counties.)
Address(Number and Street) q� 17"
£ -/07-O2 JOOOW Jo - D
City State ZIP Code County
Primary property owner contact name E-mail
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