Homestead_Creek INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
LANA C.HARPER CLOSER
Preparer of the Sales Disclosure Form Title
5231 Oak Grove Rd., Ste. TOTAL TITLE SERVICES, LLC
Address(Number and Street) Company
EVANSVILLE. IN 47715 812-468-8485
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
Jeffrey W McCullough - Tara M McCullough
Sellerl-Nam as apperion car tuiredpcant Seller 2-Name as appears on conveyance document s.
ddress(Numb and Street) Address(Nu oaand Street) �.
Under penalties of pe jury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
rid plWet r •red by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". •
Si namreo Seller Ja �- % L)
f �., Signature of Seller n
3LFFFUitl — Lo-L- Ot�t,/y 09/0/%0,7 10.10, ( \. Inc �A NitiTh o9 (o , I ao 17
Printed Name of Seller Sian Date(MM/DO/WIT) Printed Name of Seller Sian Date(MM/DD/YYYI)
F.BUYER(S)/GRANTEE( -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITE 11TIPP
Eric D.Cree JL��
\ t�me as appears on conveyance document Buyer 2-Name as appears on conveyance document
O • 7) 0 UP 7 7n17
Address(Number and Street) Address(Number and Street)
r, n6.eiv� /I Al 97670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES ,, ,
IS ❑ 1.Will this property be the buyer's primary 4 0 ❑ 3.Homestead
residence? Provide complete address of primary 0 D 4.Solar Energy Heating/Cooling System
residence,including county: ❑
S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
City,State LP.ode County ❑ 0 7.Geothermal Energy Heating/Cooling Device
r'M 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 ❑ 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) Y
City,State ZIP Code County a� -/� -� 9_ OO - DO/� �3 -027
Primary property owner contact name E-mail