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Homestead_Edwards (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Becky King Closing Services
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd., Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555 beckv.kinqeregionaltitlellc.com
Ciry,State and ZIP Code Telephone Number E-mail
.. - r' __..-
E:SEC'L'ER(S)/,GRANTOR(S)L_______–,_.– ---�,--- _ �_._
Timothy J Tichenor
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
6452 S SR 65
Address(Number and Street) Address(Number and Street)
Owensville IN 47665
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and cam to as j •Ire land ' prepared in accordance with IC 6.1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Timothy J.Tichenor
04 Is on
Printed Name of Seller Sign Dal (MM/DD Printed Name of Seller Sign Date(MM/DD/YYYY)
F:.BUYER(5)S/,GRi1NTEE(S)CAPRI:ICATIONiFOR P,ROP.EaremtAX«I)EDUC-Tiely—II)ENT,IFgALrL"ITEMS_THATlAP.PI:Y(_ __ _ �_
Taylor A. Edwards Jessica L. Edwards _
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on con ce(�., ,®ent
2825 Pinell Court same
Address(Number and Street) Address(Number and Street)
Evansville, IN 47725 APR 1 0 2017 - -
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY AIstes y --•.Y•
1' AUDITOR
YES NO CONDITION I YES NO CONDITION
TA ❑ 1.Will this property be the buyer's primary 12 ❑ 3.Homestead
residence? Provide complete address of primary ❑ 151 4.Solar Energy Heating/Cooling System
residence,including county: n
6452 S.SR 65 5.Wind Power Device
Address(Number and Street) ❑ TA 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIPCode County
TA ❑ 2.Does the buyer have a homestead in Indiana to be n 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.
2825 Pine!!Court Not available in all counties.)
Address(Number and Street) Q
Evansville, IN 47725 Vanderburqh 3674/)---1 a 1/00 1/00 -col1, 2gaco
Ciry,State ZIP Code County
Primary property owner contact name E-mail