Homestead_Candlish INDIANA SAES DISCLOSURE FORM SDF ID: Page 2
1:13 FIREPARR d o r:5- :7. "_'; .-Y•— r ., r,-° 7 %:=s.'=. ._ :7":371 1
Stacy Brown Closing Coordinator •
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 (812)759-5555 closinesn regionaltitlellc.com
City,State,and ZIP Code Telephone Number E-mail
Adam B.Schotter
Seller I-Name as appears on conveyance doc ment Seller I-Name as appears on conveyance document
ress(Number and Street) Address(Number and Street)
/ X11 0
]
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an complete quired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
ignat re of Selleej Signature of Seller
Adam B.Schotter DS A D- f (K
Printed Name of Seller Sign Date( M/DD/YTYY) Printed Name of Seller Sign Date(MM/DD/YYTT)
1/EE UYE ZISIWATNiTTE(Th APRLICAtTIONGFORA(PROP.ERrTiYigifk vDEDU0TilONS'-.J'IDENTIIEYaA 9 ITiEMS THATJAP.P,CY'� -=`'.rT '71
Gary M. Candlish Kristina J. Candlish
Buyer]-Name as appears on conveyance document Buyer 2-Name as appears on conveyance
219 Cox Rd. 219 Cox Rd. T —1!
Address(Number and Street) Address(Number and Street) ! 4�.JD
St.Clair,MI 48079 St.Clair, MI 48079
. THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOOR9Aigleb UNTV AUDITOR
' YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary 7 ❑ 3.Homestead
residence? Provide complete address of primary ❑ El 4.Solar Energy Heating/Cooling System
residence,including county: ❑
2007 W Brumfield 0 S.Wind Power Device
Address(Nu ber and Street) ❑ 0 6. Hydroelectric Power Device
Princeto , IN 47670 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device
City,State lPCode county ❑ 0' 8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ El 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.
�t Not available in all counties.) r� /ems
Address(Number and Street) _)/-11-1.2N-- lb 3 -003 - 4r3 _O_/ y
City,State ZIP Code County primary property owner contact name t f ll C.i O Email