Homestead_Mitchell (11) INDL4LNA SALES DISCLOSURE FORM SDFID: - Page2
1151ilP,REEA R_ "r,: C'.:_ .+arg,R4:.^f ;ai'Ve 4 ate"=n.. ' -auNS t:< -WP411.s r :- '1n.t r :
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 closines(&r'eeionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
Irr.;:--'v*es'& :,;-2&"� _ .".':, >_Vis.»._<3>w-1:trD',E• ,itpi Vara':: Arw .-swf-Y•`c.?g;°'p"_'s..;fi .tr!tajah. y",'ftse.F ;vAs..'6"5-.....7 ..'F i.
Donna IZ Yeager
Seller 1-Name as appears on conveyance document Seller 1-Name as appea n conveyance document
310 Hawthorne Dr 310 Hawthorn- or
Address(Number and Sheet) - Address(Numb(' •ndSireet)
Princeton,IN 47670 Princetoe,IN 47670
Prare.
E-mail
Under •enalti es of perjury,I hereby certify that this Sales Disci 8 sure,to the best of my knowledge and belief,is true,correct
d ArI� ete as requip�l by v,and is prepared accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
signature of5elo //F Signature of Seller
Dopna'RrYeaeen /n Ii?„,,,
Printed Nome of Seller Alh Sign Date( .i/DD/M1) Printed Name of Seller Sign Da:e(u.N/OD/1Yrr)
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Fr`B17YER[S)TiClaNDE )1'—"1APFLICATICMIFOITPROP.ERzligi 1X7DEDULTIONSIENDENIFIEW1L tilllI SiffiliATARPINEMEMEMRIIMINEI
L'Y
William Mitchell ) Sham Mitchell
ss}er-Z—Nv-.. conveyance document Buyer 2-Nome as appears on conveyance document
adbrooke Dr 1204 Ladbrooke Dr
Address(Number and orreet) Adorers(Number and(Street)
Princeton,IN 47670 Princeton, IN 47670
E-mail
THE SA DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR T�H(I IPERTY.IDENTIFY ALL OF TH THAT APPLY.
YES NO CONDITION / I YES NO CONDITION
( ❑ 1.Will this property be the buyer's primary 1 ❑ 3.Home d
residence? Provide complete address of prima , 4.Solar Energy Heat / o a,6 y tot
residence,including county:
310 Hawthorne Dr 1 Q S.Wind Power Device
Address(Number and Street) ❑ Q 6.Hydroelectric Power D{Wce 2 5 2018
Prin ton, IN 47670 Gibson ❑ El /.Geothermal Energy Heating/Cooling evi
G'
jState ZIP code C0°"q ❑ 8.Is this property a rest perry?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ Q 9.Would you like�g Nrttaxt StSTPfnehe1orr is
vacated for this residence? If yes,provide ((
complete address of residence being vacated, property via e-mail?(Provide contact information
l�o� t cludirg�ounty:
below.Please
in instructions for more information.
( „ J /�rl�
Not available in all c�onu�t`ie p
Address(Number and Sam) l C �^ IZ -06 `•Lb2-k•iv'1. SO —0�
y-i7z- 1 William Mitchell Sham Mitchell
Clty,State ZIP Code �f County Primary property owner contact-name E-mail