Homestead_Phelps INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
1D.'PREPARER
Meronaca Davis Title Services Professional
Preparer of the Sales Disclosure Farm Title
P.O. Box 1507 Lockyear Title LLC
Address(Number and Street) Company
Evansville, IN 47706 812-421-8405 meronaca @lockyeartitle.com
City,State,and ZIP Code Telephone Number E-mail
;E.,SELLER(5)/GRANTOR(S):.- r _'_ 711
Brock M. Sievers Emily L. Sievers
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
9 Bp t Tot 4-4 {o.' n R cI 9 ;50 G To f 4 town R c
Address(Number and Street) Address(Number and Street)
Prinre-Fun IN 4767b Pr,n(e-tun IN 47670
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and o .lete as required by law,and is prepared in accordance with ICC6- .1-5. ,"Real Property Sales Disclosure Act".
,
►.� XC
Sig Seller Signatur eller
Brock M. Sievers 9/7/16 Emily L. levers °F/7 l i b
Printed Name of Seller Sign Date(MM/DD/Y,111 Printed Name of Seller Sign Date(MM/DD/YYYY)
,F BUYER(S)%GRANTEE(S);='APPL'ICATIONIF,OR PROPERTY,TAX DEDUCTIONS--IDENTIFYrAL'L ITEMS THAT AP.PLYT T T-
Christopher W. Phelps Tina J. Phelps
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
I611 6ien4wood Dr IC1I Rten4-t,-'ood Dr
Address(Number and Street) Address(Number and Street)
Prime+on , IN 47610 Prin(e+on I NI -.- _ 10
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TH8-F-4F is 2016
YES NO CONDITION YES NO CONDITION CI" G V
[[ ❑ 1.Will this property be the buyer's primary p ❑ 3.Homestead .
residence? Provide complete address of primary ❑ Q 4.Solar EneHe brat -Nmocystem
residence,including county: • -.UNTY-•IJDITOR
❑ 2 5.Wind Power Device
11 &I4� treet) l l7( 6.Hydroelectric Power Device
Address(Number and Street) ❑ 2 y
Pti(l(eton ) IN 4'1( 10 (H L, SGY1 ❑ Q 7.Geothermal Energy Heating/Cooling Device
City,St to ZIP Code County
[ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ Er 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ L(1 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.
1740 I (al d w ei-t e r Dr Not available in all counties.)
Address(Number and Street)
Fvnoc,vitle IN 4777S- vtlndiei L,,,Ietto Q(Q— ia-oe- 30Q -c o J4-0
City,State ZIP Code . County)
Primary property owner contact name E-mail