Homestead_Godwin INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D,PREPRER -- - — - ----- ------ — - - ---- -------- ---- — F. ---------T7' _..
Kristina Watson Closing Services
Preparer of the Soles Disclosure Form Title
7820 Eagle Crest Blvd., Suite 201 Regional Title Services, LLC
Address(Number and Street) Company
Evansville. IN 47715 812-759-5555 kristina.watsoneregionaltitlellc.com
City,State.and ZIPCode Telephone Number E-mail
LE.SEL'LERES)XGRANTOR(SJ;> _ ' — � — _
Darin W Dewig
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
5730 5 950 W
Address(Number and Street) Address(Number and Street)
. der penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
.n. complete as req it by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
I
Signature of Seller - r/ Signature of Seller
Dann W Dewig 01/ /(sO//(�
Printed Name ofSel/er Sion Date(M.N/DDfTYY) Printed Name of Selle SV ote(M.N/DD/YYY)
tl BUYER(s)(GRAN TEES)LARPCICATION}FOR?2ROEERT}4TAX1DEDUGTIONS' IDENTIKALL,ITEivisiffiATAPPCY —
_CgreyL Godwin _�°§���,(` )—
Buyer l-Name as appears on conveyance document Buyer 2-Name as appears an conveyance document • . M '
2527 E Timberwolf Ln ✓/ 1 ,
Address(Number and Street) Address(Number and Street) 2
Winslow. IN 47598 Of, / 22,9
THE SALES DISCLOSURE FORNMAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. '9(/O
Y NO CONDITION I YES NO CONDITION /r0,9
.. ! ❑ 1.Will this property be the buyer's primary ‘Ig= ❑ 3.Homestead
residence? Provide complete address of primary 0 4.Solar Energy Heating/Cooling System
residence,including county: t
5710 c 9 ❑ ❑ 5.41 Wind Power Device
Tess( umbe`m{Street)•T _ 41��Q.� ❑ 0 6.Hydroelectric Power Device
t ( Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State P Code County
❑ 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 ❑ 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) 7
City,State ZIP Code County Cr‘ _/ 1-051-4.6r a -O0 (_13 _O
Cit
Primary property owner contact name E-mail