Homestead_Weber (13) INDIANA SALES DISCLOSURE FORM SDF ID: D Page 2
Crystal Libbert Title Clerk
Preparer of the Sales Disclosure Form Title
4703 Theatre Dr. Regional Land Title
Address(Number and Street) Company
Evansville, IN 47715 812-402-4553 crvstaleregional-Lt.com
City,State and ZIP Code Telephone Number E-mail
.EaSELLERS1%GRA ...FORS) ' i c ti TH t = 7,l .'"sN2' •s:� '<'v. ' `. ti-r"" '-""r' y
Daniel F McKinney Diana I amb
,sozer goes as opppgrs on cweyance document Seller 2-Name as appears on conveyance document
IN\\1 1_/V1 {f�' tt/ ■■1 Pa,\ace OR
Address beran Street) D V 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
ib
complete as re I uired by I. v,a,this prepared in accordance with IC 6-1.1-5.5,"'-al Property Sales Disclosure Act".
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'.....K.....,—.1411. I $ Sfa II II(_ '1 i∎6-.. OA 1Js s I.
Signature of Seller Signature of Seller
Daniel F McKinney 1°k\/e H Diana I amb 1 a'\4`\ 1
Printed Name of Seller Sign Date(MM/DD/Yrvp Printed Name of Seller Sian Date(MM/DD/YYYY)
(IF 8LIY.ER(S1/$123 l ATEE(S)L�-+-a,fFPPIhIGAT,lON}FORIRRQPERTpYbPAX{DEDUCTIQNS'-�1'IDENirIFewAazLIITEMSjtTHAT(APPn ----7-7,
Rebecca K.Weber
•p, Buyer l-Name as impetus on conveyance document Buyer 2-Name as appears on conveyance document
II( A — Boa E w: Ilow 34-
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THQ$E THAT APPLY.
YES NO CONDITION I YES NO CONDITION
[+'r ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Ho 1 b, COUN7y' qU IT R i
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Coo Ing YS tee 5 t f
- residence,including county: J
100 S Damosa Dr. ❑ ig 5.Wind Power Device tA
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Haubstadt, IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ EEC 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 ❑ 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 / -3 ! 03ma .30 /- W9
Primary property owner contort name E-mail