Homestead_Young (23) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
•D.PREPARER - -- .... . -,- : .
Deena Hendrickson Closer
Preparer of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 (812)759-5555 closings@regionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
Kevin K.O'Dell
Seller I-Name as appears on conveyance document Seller I-Name as appears on conveyance document
522 E Broadway St
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Kevin K.O'Dell LI
Printed Name of Seller Sign Date(M. DAM) Printed Name of Seller 't!��,p,�'1t' Sign Date(MM/DD/YYYY)
--- ...�-r-7
F. : NTEE(Sl :APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTI C S
KTasha Youn•
Buyer I-Nam-as appears on conveyance document Buyer 2-Name as appears on canvp Vito 18 1p
514S 2nd Ave
hrll V Cll
Address(Number and Street) - - - --- Address(Number and Street)
Princeton, IN 47670 ntfit�
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YEWNO CONDITION YES N
❑ 1.Will this property be the buyer's primary C ❑ 3.Homestead
residence? Provide complete address of primary ❑ El 4.Solar nergy Heating/Cooling System
residence,including county: ❑ El 5.Wind Power Device •
522 E Broadway St
Address(Number and Street) ❑ a 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 8 7.Geothermal Energy Heating/Cooling Device
City,State ZIP a County ❑ d 8.Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be ❑ 0 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide
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)
Tasha Young. a6 -t1A - 09- toY- toil-$7Y -
City,State ZIP Code County Primary property owner contact name E-mail