Homestead_Logsdon INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
aiPREPARER?•:�.J -..,C; . ;:.`57. .. ;•<-' . .a a„-tr? TT ` ','1 .“; Y r - -77':-..7 7 ,
Laura-Rininger Closing Coordinator
Preporer 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
M LLER(S)%GRAN•T..ORj5),.'' . gcti 2 P ,1L( .` ' •. :TT- -; -.17 -V 11 .x _
Roberta Kay(I owl Ross
Seller I-Name as appears on conveyance document Seller 2•Name as appears on conveyance document
201 F Walnut St
Address(Number and Street) Address(Number and Street)
Under penalties of perjury,I hereby certify tph�at this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co let as require-y law, n 's e Fed in,accoOmnce with IC 6-1.1-5.5,"Real Property Sales Disclosure Act
a f�j// ,iv-Ark
ISS natiiil of Seller Signature of Seller
N CscCA (Le-'& ASS I C30. t6
Printed Name of Seller Sian Date(MM/DD/YYYr) Printed Name of Seller Sian Date(MH/DD/YYYY)
_F:j3UYERNIGRANTEEWIE AP,PCICATION FORPROPERTYiTAXi DEDUCTIONS 11DENTIEYiAL'CQTEMSIIH'ATiAPPL `Lift_ _
Nathan J. Logsdon
Buyer I-Name as appears on conveyance document Buyer 2-Nome as appears on co 7 it y nce document
4125E 1300 S :isa I
Address(Number and Street) Address(Number and Street) C , ( 1
Evansville, IN 47715 JIM
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF ETHAT PPLY.
YES
Fl ❑ 1.Willrthis property be the buyer's primary I 0 ❑ 3.Homestead es COUN7r AUDITOR
residence? Provide complete address of primary n igi 4.Solar Energy Heating/Cooling System
residence,including county: ❑ si t.
201 F Walnut St S.�h Ind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Owensville. IN 47665 Gibson n 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ Q 2.Does the buyer have a homestead in Indiana to be ❑ 0 8 Is this property a residential rental property?
vacated for this residence? If yes,provide n is 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)
ZO—/7-/a - aOW Coo a07 ocR.R
City,State ZIP Code County
Primary property owner contort name E-mail