Homestead_Carpenter (2) .. v .,
INDIANA SALES DISCLOSURE FORM SDF ID: Page
IV:ERE PARE R',IciTIfi.;:rtr:ve€1;±?'',77--.::`,'•.71.7.;.--n.5.:Ils-.':-.7 it II-.7.0:77:1".77:. .1,773 ,7fc'FIL"r4I-fflY-ri,- ;:i7F.:7-1-`7:t:T*.t.Smtlf. :±;:4-7:,..:7:::Yr.K.: :-::::%
Stacy Brown Closing Services
Preparer 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
EVSELLEWSI/GRASTIO-PrSret,77II-7.77-?-7, , ;. _icrtIT,7",,Tt,v7Ze-C.7: ;*."7-‘, :I.7 7:-7-,7-77-.-ir,.7.-
Matthew D Hormiith
Seller]-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
4033 S 700 W
Address(Number and Street) Address(Number and Street)
Owensville IN 47665
Under penalties of •erjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and com lete as —quired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signatitr,of el er • Signature of Seller
Matthew D Hormuth -- / tX, 19
Printed Nameg Seller Sian I ice M I DO Amu Printed Name o Seller Sign Date MM/DD
.}H3UYER(SACRANFFEE crAPPEIGATION&WPROPERTYTAXWEDUCTIONSR1DINTIEN:ALLHTES15.THAT.APP,fiY11.77,Cisi - '' t.
Jonathon C. Carpenter Felicia R. Carpenter
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document ti
302 S. Hillcrest St. 302 S. Hillcrest St.
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 Fort Branch, IN 47648 144
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.14 te,
YES NO CONDITION YES NO CONDITION '
*le
TA 0 1.Will this property be the buyer's primary Hi n t 3. Homestead /).
0
residence? Provide complete address of primary 0 Ell 4.Solar Energy Heating/Cooling System
residence,including county:
0 El 5.Wind Power Device
4033 S 700 W
Address(Number and Street) n is 6. Hydroelectric Power Device
Owensville, IN 47665 Gibson n 12 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 El B.Is this property a residential rental property?
n 12 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide El si 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)
0%-V°-i6- Jo° -O6 '7(5.5-2- 0027
City',State ZIP Code County
Primary property owner contact name E-mail