Homestead_Lara INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
IjO7■PJI-ElfATERTMciaTe717a-CV',..f-S7711/4,-1 .2.,- -"Hia.W-4.,-*"-71.-1:;- ;;',T.Tist'AI-J;124,711;titt.M2121snaEll::rfizri,), /7"::;i3T,Im.e.r.,
Lynette Murray Murray Processor
Preparer of the Sales Disclosure Form Title
2301 N Burkhardt Rd First Advantage Title
Address(Number and So-eel) Company
Evansville, IN 47715 812-490-8485 theteamefirstadvantagefitle.com
City,State,and ZIP Code Telephone Number E-mail
W(-SEE iti ET i S.It-RA WORTS)ril.LC:-Itjratalis;c:C37,71-vWV: 77,17771:717-rit.,, 7-'z:R73.77:7-7-strti7C:r?q,,,k7:;:?Trarar--7-t,
Wayne V Sham Trust.LYT/A 20/11/2013
Seller I-Name as appears oncozonc document Seller 2
e eer -Name as appears on conveyance document
(-R
Address(Number tree Address(Number and Street) .
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as re aired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
c71 A 0,1_ S
Signature of Seller Signature of Seller
Peden S Brett Successor Trustee
Printed Name of Seller Sian Date(A4/DDIVIY1) Printed Name of Seller Sian Date(MM/DO/WM
IF-6.BUYER(S AG fier-chtFEE(S)172APREIGATIO 1\17;EOITI1BRORERTNiTAX,D,ED.U.GIE1 0 N-SEiDE WI EYJA EaIIT EMSITHAVAilPtfin="2-7:14-2LLFliK' —
u, .
Carley F Lara t • a 9-■ '
Buyer I-Name as appears on onveyance locument Buyer 2-Name as appflonvey•11.111.,
Address(Number and Street) .------' Address(Number and Street)
WO 1 f -Sk,i 1 I le -it\j (41---)( S
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TI M^ •1
GIBSON
YES NO CONDITION YES NO CONDITION
.tg, D 1.Will this property be the buyer's primary D 3.Homestead • Nre AUDITOR
residence? Provide complete address of primary iz 4.Solar Energy Heating/Cooling System
--1 ..preslencSicludil ,TAattic s
0 N S.Wind Power Device
Address.lNumber ond Street) -.-• D 17) 6.Hydroelectric Power Device
-0 VikS ) I‘U) 7-I ---3 k4--) LP c D 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
D NI 8. Is this property a residential rental property?
D N-ki. 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide LI 2 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)
City.State ZIP Code County
Primary property owner contact name E-mail