Homestead_Hadlock (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
i!RPP, RR `.' -- s 61- tti x-�>^, " -2__,_ 4 r; r x•- - n,. - '":7i -�--r
tom._.- . B' ,d _:-.:.��' b.. ?c, _sil.,.:n_ -� t - _'+h::=:S,-.:s..-.. ° `�. ,v > .:.;,.. -
Allie Alexander Processor
Preparer of the Sales Disclosure Form Title
2301 N- Burkhardt Road First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715 (812)490-8485
City,State,and ZIP Code Telephone Number
E-mail
ESEILTEtniatAf�!TO10rr:47 ` ��: :_' ..•� __ rN fi •t^- r 1 y---- , -t _�_-a-� .3.,--i
Msj Fnterprises I LC Msj Enterprises I LC
Seller I-Name as appears on conveyance document /t Seller -Name as appears on conveyance document
/OD 6 -772a, /
Addres (Number andlftreet) Address(Number and
mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,con'ect
and co Iplete as requjied-bylaw,and is prepared in accordance wi IC 6-1.1-5.5,' Pro erty Sales Disclosure Act".
Signature of Seller /7 'Signature of Seller-.c21-9-/q/ Ii-i )215
Sandra Albers Member 7c;' -.c21-9-/q/ John Albers Member ( 7' rn
Printed Name of Seller Sian Date HH DD/ITYi Printed Name Seller
1 / 1 ! Sian Dote(1414/DDAm)
sE:BUYER( CRr1NTEESS) APPLIEATfONfFOR;P.RO@ERTtYe'TAXAEDUCTJONS IDE100r1LLrfTEMS.T110/0PiEWS:1,.
Timothy Nadlock
Buyer I-Name os appears on co eyanc(dgcuumeenn�h+�\ � Buyer 2•Name as appears on conveyance document
Address(Nmryh,y_r and
iSI
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION JAN 0 8 2018
I(�❑ I.Will this property be the buyer's primary (�❑ 3. Homestead
residence? Provide complete address of primary -
❑ � 4.Solar Energy Heating/Coot g S,yst• I ./
aesidppcf? �c ding nty: II "Ir
y�� VV VV l��e Aye s ❑ S.Wind Power Devi`ce� O.N COUNTY .AUDITOR
Add/—it ibex(ond St�t)( , ', ❑ Q 6. Hydroelectric Poi evice
vtt//�t \`a p�! i"} I"
�r(C 0 ❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State ZlPCode � County
❑ I 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 ❑ 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) ^-n/ y/1 /'/1
City Sate ZIP Code K� " L—I8 _ 'O'4-003 ` I��•W
County
Number