Homestead_Rivera INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Lynette Murray Processor
Preparer of the Sales Disclosure Form Title
2301 N Burkhardt Rd First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715 812-490-8485 theteam(a�firstadvantagetitle.com
City;State,and ZIP Code Telephone Number E-mail
j E.SELLEl2 S)/GRANTORjS)r a 3.r '
1 inda L Hauhold
Seller l-Name sap rs on conveyance document Seller 2-Name as appears on conveyance document
363 \
Address(Number and Street) Address(Number and Street)
"P( ( , v N el76970
City,State,
Telephone Number E-mail Telephone Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is I repared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
ignamre of eller Signature o%Seller
I inda I Hatthold by Melinda K Prerts7 AIF 5-30-/
Printed Names Seller Sian Dote(MM DD/YYYYI Printed Name o Seller
F.:BUYERSrGRANTEES -APPLICATIONOR':PROPERTYTAXDEDUCTIONS- IDENTIFY-ALLITEMS inapoa mit
Ines M Vigoreaux
isappears on conveyance document Buyer 2-Name as appears on conveyance document
..
3)S w. Se(u(Q_ 5-F , �� YUN 07 2018
dress(Number and Stre t) Address(Number and Street)
(,n(e-t-On 1 N H7(970
/,,;.. •
�
Telephone Number E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CQNoITION
V ❑ I.Will this property be the buyer's primary ❑ 3. Homestea
residence? Provide complete address of primary
�1 IL 4.So ar Energy Heating/Cooling System
residence,including county:
3 )t— 60 5 ry-u t. ❑ 5.Wind Power Device
44tess(Number and Streeq ID SI 6. Hydroelectric Power Device
1)(VW/-EO(M7 � M k7(197b ��04050I\ ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP ode County
2. Does the buyer have a homestead in Indiana to be ❑ $ 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)
‘, -/& — o7-/od - DO0k. X76-0018
city State ZIP Code County
Primary property owner contact name Einuil
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". (Note:
Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.
Signature nj Bi9'rr l Signature of Buyer2/$rouse
Edwin Rivera OS 30 (2018 Jnes M Viporeaux �/3 0 /70 la
•