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Homestead_Hillard
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 -D:PREPARER - - - - - - - - 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 CHRISTINA(TREGIONAL-LT.COM City,State and ZIP Code Telephone Number E-mail .E.SEI.uER(S)/GRANTOR(S�. • - , - - Ryan M Fchert 1 inda Echert Seller)-Name as appears on conveyance document Seller 2-Name as appears on conveyance document X 56 /I/ 1/Il6 Sr '� tt_ N. •VINci Ec \ 'AddreJ(Numberand Stree) adress(Nutrierand Stre'y / 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 required by law,and is prepared in accordance with IC 6-1, -5.5,"Real Pro erty Sales Disclosure Act". S`/ if ,..-' .All F Z,Ll i A Cc-- 'Signature of Seller, 'Signaliai,ofSellel, Ryan M Echert /0 --i9--(7 J inda Fchert /t-/4'/7 Printed Name of Seller (Sigh Date{x niii/rvrr) Printed Name of Seller !S(a'n Date(.v.N/DD/rrYJ) F.BUYER(5)/GRANTEE(5�.-APPLICATION`EOR PROPERTY TAX'DEDUCTIONS=jDENTIFY AL1 -AT l _ Mike P Hillard t�ly�' Beer1,214e as ap rr co eyanc acument Buyer 2-Name as appears on co an kgilik v__ 3'Add=ess(Numbe`and Street) Address(Number and Street) OCT 2 J 1Ull 30Y. N, l�t.vn 51 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. ,YES ENO .CONDITION. I ,YES NO CONDITION• \� ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System residence,including county: ❑ NI 304 N Vine Street 5.Wind Power Device Address(Number and Street) ❑ 12 6. Hydroelectric Power Device Haubstadt, IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County ❑ la 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ GI 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) r(��JI Ciry,State ZIPCade �(0 — I9'-3I- �3di- Oro ; 1g1)^©D9 County lIIYYY Primary property owner contact name E-mail