Homestead_Dunn (8) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
leD!:P,RERARERk_ .- ----- , I .
CHRISTINA LATHAM TITLE CLERK
Preparer of the Sales Disclosure Form Title
4703 THEATER DRIVE REGIONAL LAND TITLE
Address(Number and Street) Company
EVANSVILLE, IN 47715 812-402-4553 CHRISTINAeREGIONAL-LT.COM
City,State,and ZIP Code Telephone Number E-mail
1E3SSELL'ER(S)/ RAN,TOR(S]) - .` -- ` - 'T — , 1
Brian K Rexing
,eller I-Name as appears on conv nce document Seller 2-Name as appears on conveyance document
S3 n ( Cr4ler- .01C
xAddress(Number and Street) -^ Address(Number and Street)
Ev4.AcsL.1 / / -1 - 7%7 722
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c plete as red b law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller S Signature of Seller
Brian K Rexing X 1,Z2 S/,/O/7
Printed Name of Seller - Sia /DD/YYYY) Printed Name of Seller Sian Date(M.M/DD/YYYY)
it aIL., ' `TEE(Sj; AP.P.(sIGAT10NT,OR;PROP,ERTYLTAXDEDUCTIONSEIDENTIFYCAWITEMSiTHATp f -- - - - -
Tro D. Dunn
., e as appears on conveyance document Buyer 2-Name as appears on conveyance document
to 6,?so r-1 5r [j ,
Addrettt�(Number and Street) �7 _J _T Address(Number and Street) �"s/y g
KR,„
THE SALES DISCLOSURE MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS,PFROPERT ■
CONDITION
- F THOSE THAT APPLY. YAOOfTOR
5 Ei 1.Will this property be the buyer's primary E ❑ 3. Homestead
residence? Provide complete address of primary . 4.So ar Energy Heating/Cooling System
residence,including county: ❑ 0
1405 S Darwin Ave 5.Wind Power Device
Address(Number and Street) ❑ SI 6.Hydroelectric Power Device .
Princeton, IN 47670 Gibson ❑ is 7.Geothermal Energy Heating/Cooling Device
City,State ZIPCode County
❑ 111 2.Does the buyer have a homestead in Indiana to be n E 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 12 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)
d —//—/J a65L000r. o 7 . a?
City;State ZIP Code County
Primary property owner contact name E-mail