Homestead_Banet (2) t•
INDIANA SALES DISCLOSURE FORM. SDF ID: - Page 2
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Stacy Brown Closing Services
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Siren) Company
Evansville, IN 47715 (812)759-5555 closingslaregionaltitlellc.com
City,State,and ZIP Code Telephone Number E-mail
Steven A. Hill Nancy D. Hill
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
2607 Locust Street 2607 Locust Street
Address(Number and Street) Address(Number and Street)
Eldorado, IL 62930 Eldorado, IL 62930
and com.mss!��• :red by law,and is prepared in accordance with 991C 6-1.1-5.5,"Real Prclos ure Act".
�t&i �(
•nature o 'er Signature:tic p c�
Steven A. Hill '�' f Nancy D. Hill
Printed Name of Seller Sign Date(MM/DD/YY ) Printed Name of Seller Sign Date(MM/DD/YYYY)
F!BUYERIS1/GRANTEH(ShAPB1iIGATION7EOR BROBER WZAXiDEDUCTIONS=SIDENmiEY.iABL ITEMS,THATIA-Ma .= l
Victor J. Banes .
Buyer)-Name as appearson conveyance docu Buyer 2-Name as appears on con vryap eta
Number Na/ Sn t g �QqJ
Address Number and5[reei) /_ 0p 7^ Address(Number and Street)
PROPERTY. IDENTIFY ALL O $A r�'o �C-4'"'"
N c.r� ri r AUDITOR
YES NO CONDITION YES NO CONDITION
12/ ❑ 1.Will this property be the buyer's primary [!if ❑ 3. Homestead
residence? Provide complete address of primary ❑ p 4.Solar Energy Heating/Cooling System
residence,including county: ❑ 1i 5.Wind Power Device
1199 S. Hoot Owl Lane
Address(Number and Street) ❑ 121 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP code county ❑ 8.1s this property a residential rental property?
❑ d 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 information.
Not available in all counties.)
Address(Number and Street) gW I 1 - lb- LOD _00O . 1 li b-ba 2
City, property State ZIP Code County Primary proper owner contact name t tf E-mail