Homestead_Rader INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
CD?&REP,ARERtr : .— . e--5-7,C,, �- , e- -
Becky King Closing Services
Preparer of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd.,Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville. IN 47715 812-759-5555 becky.king(alregionaltitlellc.com
City,State and ZIP Code Telephone Number E-mail
EE.;.SEEPER(S)%GRANTOR(Sr —•t --- Tr:" — ._— -
Tyler Taylor Megan Taylor
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
9771 Winyard PI same
Address(Number and Street) Address(Number and Street)
Owensville IN 47665
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and cfi fete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Sign -e of Se `Sig.
ignature of
Tyler Taylor 09/08/2016 Megan Taylor 09/08/2016
Printed Name of Seller Sion Date(MM/DD/YYYF) Printed Name of Seller Slgn Date(MM/DD/YYYY)
1..: BUYER(S)/GdNirEE(S)�APPLICATIONIEOR;?ROPER7 YrTAXT—ED TIO N-S IDENTIF Yr A LL 1TE M-S,ITHATEr A PPb Y, ti.-_, - �
Daniel C. Rader Laura C. Rader
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
4835 Lang Rd. same A
Address(Number and Street) Address(Number and Street)
New Harmony, IN 47631 P h
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TRrA'Sig'
YES NO CONDITION I YES NO CONDITION '"O//�.
i❑ 1.Will this property be the buyer's primary 2" ❑ 3. Homestead `Y 4100
residence? Provide complete address of primary ❑ 0 4. Solar Energy Heating/Cooling System rO ,
residence,includin county:
((�� ❑
"111\ i nyefel IJ ((\C�. 5.Wind Power Device
Address(Number and Street) � C ❑ 0 6.Hydroelectric Power Device
Os,9 lCUiIke T-t) ti-1Ln1` J Q "
O ❑ Fl 7.Geothermal Energy Heating/Cooling Device
di e ZIP Code County
❑ 2. Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ NI 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
includ• g co nty: below. Please see instructions for more information.
(T;35 L-11,11 y(1 Not available in all counties.)
Address(Number nd Sgeet) �/
I1llw zinV LA t LINO 3I Po?)€-V d -/2 09-doo- oo1942 O�
City,State ZIP Cade 3 County property owner contact name Email