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Homestead_Claridge Jr
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ('> 'PtREPAREg- — -' . -_ - -1'r;,--- - 1 Becky King Closing Services Preparer of the Sales Disclosure Form Tide 7820 Eagle Crest Blvd., Suite 201 Regional Title Services,LLC Address(Number and Street) Company Evansville,IN 47715 812-759-5555 becky.kinq(ohregionaltitlellc.com City,State and ZIP Code Telephone Number E-mail riE?SELtiER(S]-/GRANTiONS ..0•; _,:•'. c ` ' ._ _ - _ :v --. Rick A Vaughn Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 4716 Windham Drive Address(Number and Street) 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 required b law,an 's prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". SignaturevfSeller� - b' �� Signature of Seller Rick A.Vaughn 12/06/2017 Printed Name of Seller Sian Date(MM/DD/MY) Printed Name of Seller Sign Date(MM/DD/YYYY) $:;BUyrER()/GR'A'N,TEEf5 AP,P,LICATIOKE QRIPRQEERTTIWi;TAXSDEpUCTjI©NSIDENITjIFYVEE,21TEtiiS{T1-EASE PP,E ' — 1 Jerry R. Claridge Jr. Julie A. Claridge Buyer I-Name as appears on conveyance document Buyer 2-Name as appears an conveyance document 4817 W Killarney Ct. same Address(Number and Street) Address(Number and Street) _- Jasper, IN THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE T 1/11 t„ 2 i YES NO CONDITION I YES NO CONDITION CO, �I�i ❑ 1.Will this property be the buyer's primary (�❑ 3.Homestead rY-1� residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling Sy residence,including county: /� \'1 3-1 L d r, ❑ 0 5.Wind Power Device .wreess(Nym_berr and SStrreee ( ❑ M 6. Hydroelectric Power Device . I �au1J jt Ll� T Tn Lai In lV IbSoi ❑ M 7.Geothermal Energy Heating/Cooling Device C/MState ZIP Code County ❑ 2.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 ❑ M 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. ti including L1 \Cit(Grn1 C� Not available in all counties.) %fr,dress(Number and Street) 1 ap t tel 4T54U 0vbo,� 016-�,3/G-/00- 007 yys� oaf" S tat IP Code County Primary property owner contact name E-mail