Homestead_Heeke •
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
ILLIP,REliARER •
Deena Hendrickson Closing Services
Prepare,of the Sales Disclosure Form Title
7820 Eagle Crest Blvd.,Suite 201 Regional Title Services, LLC
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555 deena.hendrickson(d regionaltitlellc.com
City,State,andZIPCade Telephone Number E-mail
iRcSELLERSAGR�A�NIT,OR(STEr"'. .'1.1‘ .o. ..=k , .,..f�. 4 s;d., c , . -r j
.luctin N Reising ,
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
11432 S 150 E
Address(Number and Street) Address(Number and Street)
Haubstadt IN 47639
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and om lete"/a✓sreq fired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seiler t� Signature of Seller
Justin N Reising 7 1 t 1
�(
Printed Name of Seller Sign ate(HM/DD/rvYY) Printed Name of Seller Sion Date(HM/DO/YYYf)
aF:IBU,YERfSj/.G iTiEE(S) lABRIJIGATIONiEHRTRQPERTIVITC EDUCTIONS�IDENTIF1f ifilMITIEtiIS-ATI,H'AVAP,P,L'Y%=.`(-t - .
Brian P Heeke
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on JY�IJt'.
cnnveyance vPj'Lr -0
5340 E 900 S 1
Address(Number and Street) Address(Number and Street) a
Ferdinand. IN 47532
THE SA DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TNIS PROPERTY. IDENTIFY ALL OF THOSE THAT ,
YES NO CONDITION I YES NO CONDITION GIBBON COUNTY AUDITOR
❑ 1.Will this property be the buyer's primary [71 ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county:(• ❑
‘3l I3 ISO 5.Wind Power Device
4dLdlre �esss(NuumberandStreet) ` 11 ( hC ❑ 0 6.Hydroelectric Power Device
clU d a-r I'V "1-1 4PR vi V cf- ❑ 0 7.Geothermal Energy Heating/Cooling Device
City, tateZ 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) _nJ
City,State ZIP Code County IX 10� a3-a�"(00 -�•38y-O2y
Primary property owner contact name E-mail