Homestead_Vantlin INDIANA SALES DISCLOSURE FORM SDF ID: Paget
D.PREPARER_..
LANA C. HARPER CLOSER
Preparer of the Sales Disclosure Form Title
• 5231 Oak Grove Rd., Ste.A TOTAL TITLE SERVICES, LLC
Address(Number and Street) Company
EVANSVILLE, IN 47715 812-468-8485
c,ty,State,and IJP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) .
Paul Adams Susan Adams
SllerI-Name as appears on r onveyvnre document Seller 2-Name ns appears on cane vicedocu tot
2.371 5 7P72 1/� 99 �� r
Address(Number and Street) tddress(Number and Street)
i bii1a4-itr /=< 3273 a Oc/7-
Under I enalti, .f perjury,I here• ertify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and r I I requiree b r •,tri r�,lared in accordance with I 6-1.1-5.5,"RRfeal Property Sales Disclosure Act".
'� ' — � �' ►.� e�•/oc R • ( roc-��
,nir o'Baer rp'atare ofSener
Paul Adams /2-2F-17 Susan Adams /9 -r •a0/7
Printed Name of Seller Sian Date(MM/DDIMT) Printed Name ofSeller Sian rote(MM/DO/ITYY)
F.BUYERS)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS=IDENTIFY ALL ITEMS THAT APPLY
Chelsea D. Vantlin DULY ENTERED FOR TAXATION
avicl e.Name as r ncnv e-e document Buyer 2-Nome as appears on con ve� Lcf16n(inal acceptance for transfer
A is(Number a d trrtt �_day of
( ) Address(Number and Street)
I'In( e #
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TBM APPtlY.Y
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead JAN 2 4 2018
residence? Provide complete address of primary ❑ 21 4.Solar Energy Heating/Cooling System
4 / rest ence, ncluding county: ❑
( A/ a I^ S.Wind Power Device Ff
(��in/A'nml vandStr/r)Y' ���� /D1��o� ❑ 0 6.Hydroelectric fob bNT y AUDITOR
(rih(�rr-/�J�P ode vi County
❑ 0 7.Geothermal Energy Heating/Cooling Device
❑ Lid 2. Does the buyer have a homestead in Indiana to he ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 12 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)
C'iry,State:4
alp—It—ID — ato-top. 11s-oat/
Punt'
Primary property owner contact name Email