Homestead_Miley INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
hPREPARERL -- .
LANA C.HARPER CLOSER
Preparer of the Sales Disclosure Form Title
5231 Oak Grove Rd.,Ste.A TOTAL TITLE SERVICES, LLC
Address(Number and Street) Company
EVANSVILLE, IN 47715 812-468-8485
City,State,and ZIP Code Telephone Number E-mail
tE,S LELE L'ER(S)`/.GRAN:TOR(S)l — - -- --- - --- — - - '--- -.
Keith A Sandefur
Seller I-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
205 N 5 vn,-.1-6, s 1L--
Address(Number and Street) Address(Number and Street)
O letsvi//e_, Jr( L/7460
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c�oo/myw�plette�eAAas`/ree/quired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
S n LureciS fer Signature of Seller
.�12 A , Sairtad- ia-IX/
�
Printed Name of Seller Sian Dote(MM/DD/YYTY) Printed Name of Seller 5(an Date(MM/Daiwa)
M,BUYER(S)7/.GRANTEE(S)`SAP,P,EIGATIONSEOI MOP.ERTYIT AXDEDUGTIONS 'IDENTIFY(ACEITEMS2THATAP,UN -'—
Todd Miley
Buyer I-Name as rs on conveyance d omen! Buyer 2-Name as appears on conveyance document ilye' 2 110 al a,� .
ass(Numbe r ands reef) Address(Number and Street)(lthhtl �1, I �; 47(,��D pi
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAI'A
YES NO CONDITION YES NO CONDITION COf/NT,,
NI ❑ 1.Will this property be the buyer's primary TA ❑ 3.Homestead HUO/TOR
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
re. ence,incliutdingcounty: ❑
) D� C� , .��r).1Ai 1 u 5.Wind Power Device
L)DJCI ( )1 (F 1 NI ,f 7 f ,1( 5 ��j��� ❑ 6.Hydroelectric Power Device
fJty,State ZIP Code �/(1 y 4 County
❑ 7.Geothermal Energy Heating/Cooling Device
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 ❑ 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)
cap- IS-or/- /Ol - 6co. f8'7-nag.
lily,State VP Code County
Primary property owner contact name E-mail