Homestead_Webster (2) INDIANA SALES DISCLOSURE FORM SDF ID: Paget
�D)P,REI?ARER'
Jennifer Wade Closer
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 closings(Tregionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
t ".•'.. - .. .. .. •. .. '{w .-} ,. 'KF .,4 -?' - _ 3.; 1-""4- — •
Walter L. Deckard Nancy J.Deckard
Seller I-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
12210 Appolo Drive 12210 Appolo Drive
Address(Number and Street) Address(Number and Street)
Ft Myers, FL 33908 Ft Myers, FL 33908
Under penalties of perjury,l 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".
Signature of Seller Signature of Seller
Walter L. Deckard Nancy J. Deckard
Printed Name of Seller Sign Date(MM/DD/YlY)) Printed Name of Seller Sign Date(MM/DD/IYYY)
LF.kBUYER6S`1TGGRAW:TEE(S)LAP.PL fAT10-WOR�PROP,ERT TTP XiEDUCTi10NS IDE,\STiIFY&a.ithIT,,EMS1:TiHAVARP.EYF°
Kelvin R. Webster Tawana Smith
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
725 W Evans St 725 W Evans St
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670
State,and ZIP Code --� State,and ZIP Code
THE SAL DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead A
residence? Provide complete address of primary ❑ El 4.Solar Energy He ng/ o�tng stem
residence,including county: b
❑ 0
804 N Main St 5.Wind Power Device d
Address(Number and Street) ❑ 0 6. Hydroelectric PowN)exice b
Princeton, 47670 Gibson ❑ 0 7.Geothermal Ene a He�fi&poling Device
cry,Rote zl code County
❑ D 8.Is thisiMaP- '£esidential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide ❑ RI 9.Would you li e4pFi as?)r- tatements for this
complete address of residence being vacated,
property via e-maiT7yPlo .e contact information
including county: -below.Please see instructit4f9.6more information.
Not available in all counties.) R G
Address(Number and Street) Z. Co- 12 -07. 102. coo (DO C) Q Z s
Kelvin R. Webster Tawana Smith
Ciry.State ZIP Code County Primary property owner contact name E-mail
License/ID/OtherNumber Number License/ID/Other Number