Homestead_Murphy INDIANASALESDISCLOSUREFORM SDFID: I Paps
D1. P,REPARERj==ant a,Y �,;�..,1.,,.z:7-r Ceras:�_4,1.:--es..m. . ._._z_.__.4.4.�
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Deena Hendrickson 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 closingsOregionaltitlellcon
City,State,and ZIP Code Telephone Number E-mai
Kathy Jo Odom yi
Sellerl-Name as appears an conveyance document Seller l-Nameas•- -•rs on conveyance document
5760 S 850 W 5760 S 8-: W
•
Address(Number and Street) Address omberandStreet)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowle ge and belie ,is true,correct
and c plete as required and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Dbs o Iyr Act'.
JUL Slgn•tore of Set q Signature oJSel/er n
Kathy Jo O:om [/„/y� ;'I�to::u_ ul
Printed Name of Seller ign t MM/DD/Ynl) Printed Name of Seller GIBSON COUNT 1btig4i4at911F TPfin)
EFtgR , R6YL�S)'/( NgIEE(ISl1 AEP-L'ICAiBilONIEORERROBERTA AXlDEDU of SWIDENT}F, a '" ITEt 1SvTH4,T AP,P.LY " -
Jacob K. Mu Ili • /Taylor L. Donaldson
:u • ,easa.,i•a • ,nveyance document - conveyance document
2542 N 150 W 2542 N 150 W
Address(Number and Street) Address(Number and Street)
Washington, IN 47501 Washington, IN 47501
mail
THE SALES D CLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THI P ERRf�. IO— E P THOSE THAT APPLY.
YES 'O CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of primary ❑ 4.bo . gy Heating/Cooling System
residence,including county: ❑
5760 S 850 W 0 5.Wind Power Device
Address(Number and Street) ❑ I71 6. Hydroelectric Power Device
Owensville, 47665 Gibson ❑ 0 y.Geothermal Energy Heating/Cooling Device
City,State ZIP a county ❑ 8.1s 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 informatiol
Not available in all counties)
Address(Number and Street) 26-1.1 — 11-100 —001 .7 ?-021 •
Jacob K. Murphy Taylor L. Donaldson
City,State ZIP Code County Primary property owner contact name E-mail