Homestead_Harte NDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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):!P,REP,ARER L. ,5e>3 rr uh:�r•'Z .•ht .> X z - +_. N= 7 s"r r e n, s,"F.
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
City,State,and ZIP Code Telephone Number E-mail
SSELILrER(S)T G 'RANTOR(S)l per`»0.. .•7 , ,1777777-7- i •. —i -7:,!_.? '4< ., ' r`�,-:. ;,tr';i
Alan C Anderson Dorothy.1 Anderson
Seller I-Name as appears on conveyance document Seller Z-Name as appears on conveyance document
7030 S Division St 7.030 S Division St
Address(Number and Street) Address(Number and Street)
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 law,and is prepared in accordance with 6-1.1-5 5,"Real ProgeFty Sales Disclosure ct".
OfecA C . C2 ■ 11,x\ A^ D. _ - ll 411
Slgrl..`ofceller� QQ(( C Slgndmr`eafSelliPitt4 5 f
an C Anderson V 12 3 I ' Le Dorothy.1 Anderson 5 1251 ( k
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name ofSeller Sign Date(MM/DD/Y}TY)
FiiBU.YER(S)%GRAANTEE(S), 7AP,P:LIGATION(F,ORtP,ROP.ERTY,yTAXr DEDUCTI ONS'- if iEN;TIEwAL'LyITEMSiTHATiAP,P,!Y ri. M-'2 __, .
Jordan Harte P-xt.n H.rt-
Buyer I-Name as appears on conveyance document Buyer Z-Name as appears on conveyance document
7030 S. Division St. 7030 S. Division St.
Address(Number and Street) Address(Number and Street) ,9/, Nye-..6.)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. /YTy jai
YES NO CONDITION YES NO CONDITION lei
0 ❑ 1.Will this property be the buyer's primary 0 El 3.Homestead �TO,Q
residence? Provide complete address of primary ❑ fl 4.Solar Energy Heating/Cooling System
residence,including county: ❑ ri
7030 S Division St 5.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Oakland City, IN 47660 Gibson ❑ Fl 7. Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property?NI
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) C27L_ T/ / _000 QG ,/Q0CA
City,State ZIP Cade County
Primary property owner contact name E-mail
)