Homestead_Segal INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D REPARERts.?• ° .'tom—•-.k •1.'_-.— . -':-tt, et 9_ •rr;c-:--,-----.-r,r--srG ( . -- ,-- -,. - _ •T
`m ill i'-'-kCa,'_,. --x-a�*2€ = -t
Laura Rininger Closing Coordinator '
Preparer of the Sales Disclosure Fonn Title
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 E-mail
E?SECUER(S)'/•GR'f1NTOR(S)T .- , .r,`-fi —°7• 1„¢ 3 Y -r i'' -ci r ':7J- . I
Cary R Maurer Beth A Maurer
Seller 1-Name as appears on conveyance document Seller 2-Name as appears an co�pv apps,e�document
723 Kea,'Eli/ ,)in kr��t6 5. T�1ttdiht <fik_c
4Address(Nsmb-erand Street; .Adesi(N er and Scree()4/
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and corn lete as required by law,and is prepared in accordance •th C 6-1.1.5.5,"R a roperty Sales Disclosure Act".
�-,--� . `ci f CI - 04,1 n�,
Sign�eofS—elfer Signature of eller
Cary R Mauer \G [\LQ Reth A Maurer &1( (O\ /1(2
Printed Name of Seller Sian Date(MM/DD/YYY}) Printed Name of Seller Sian Date(MM/DD/YYn)
743UYER(SW GRANTEE(S)'vAP.PCIGATIONF EOFRRO$ERWFAX∎DEDUCTIONSEIDENTIF;Y('APOITEMS'THATMP,P-pYta,:? ' : .:+ 1
Robert Segal Rachel Harvey
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
4323 S 850E 4323 S 850 E
Address(Number and Street) Address(Number and Street)
THT A•'• c•0/8
e ��
YES NO CONDITION YES NO CONDITION Of V
N ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead TY.' •
residence? Provide complete address of primary ❑ N 4. Solar Energy Heating/Cooling/'s m
residence,including county: ❑ O
8225 S Hidden Lake Dr 5.Wind Power Device R
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Ft. Branch, 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State Zf Code County
❑ 2.\D4 es the buyer have a homestead in Indiana to be ❑ NI 8. Is this property a residential rental property?
o
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) t 9. /Y _ /D JO6� 0/9-- &Id-
City,State ZIP Code County �`//�
Primary property owner contact name _ E-mail