Homestead_Miller (8) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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rD.:P,REPARER� - _ .. - - `- _ - .�..- -- _�_-_ „ •_ - " _ - " �?.,# -< �.
Laura Rininger _ - Closing Coordinator
Preparer of the Sales Disclosure Foram 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
ESEtiLER'511GRANTOR(S)_w_- 7_- - -77" '7 . ' r-- .<,:•
DFG&MBG Rev Liv Trust dated 11/17/14
Seller I-Name as appears an conveyance document Seller 2-Name as appears on conveyance document
7282 F Warrenton Rd
Address(Number and Street) Address(Number and Street)
Under I enalties • -perj ry, hereby ce .ify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and o i plete .s r •• :edge aw,a • prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure A ".
L/ i� 7991_ _ , -. r ‘Y/, / -
Sfg ere of Seller Sii attire of Seller
I I. - .- ¶ • l3-(1 MaureenB Greubel ( • (?-O
Printed Name of Seller Sian Date(htM/DDATYY) Printed Name of Seller Sian Date(.MM/DD/rrrY)
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;F�'. _..u�J[M.7:or.. SiAPPG16:�1T10N�FOR,PROPERTt`�TAXDEDUGT[t __, � YTIEI'tALCITEMS-THAT APP�Y'��.,,.�_1 __
I• - Jessica R. Miller L.
41111 „ },l. "*sr.conveyance document - Name as apt on conveyance document C /
,
• an Circle 1393 Dylan Circle f
Address(Number and Street) Address(Number and Street) ,t� q}�Q'
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLTE/A. './
YES NO CONDITION I Y r I CONDITION
MI ❑ 1.Will this property be the buyer's primary 4 o n 3.Homestea. 9/7.04,
residence? Provide complete address of primary ag. 10 • -, • nergy Heating/Cooling System
residence,including county: n 0
2282E Warrenton Rd 5.Wind Power Device
Address(Number and Street) n 0 6.Hydroelectric Power Device
Haubstadt, IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ NI 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 ❑ 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 i I1 counties.)
Address(Number and Street) /7f�J
City,State LP Cade County `� "- Ca /� G - 1O/ do 7_'15i
Primary property owner contact name _ E-mail