Homestead_Jenkins INDIANA SALES DISCLOSURE FORM SDF ID: Paget
Jennifer Wade 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(thregionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
7-4--t- - -t-tit. .. - ;. ' ..
Darla J. (Strickland)Ewin
Seller I-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
5302 S 925 E
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660
mate,ana LiY Lace stare,ana L,Y Lamm
(
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 ran*'complQte as required law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller -
Darla J. (Stric and)Ewin dg//20/8
Printed Nome of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller p Sign Date(MM/DD/YYYl)
E..BUYER(S)'%GRp1TEE(S1-APP.LFIGITIONeEORP.RORERT:YyTAkl EDUCTIONS IDEN'TIEYCAIRirfaiS,Tffatt. E6'I4 — • • - I
Jimmy Jenkins Kathy Jean Jenkins '(J �l
• Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document `•
211 E State Hwy 168 211 E State Hs y 168 S'Ep / v
Adaress(Number and Street) Address(Number and Street) F
Mackey, IN 47654 Mackey, IN 47654 �l 20/8
ern
�/Tan'
YES NO CONDITION YES NO CONDITION
�j ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of primary ❑ p 4.Solar Energy Heating/Cooling System
residence,including county: ❑
318 Rr Elm Street 0 5.Wind Power Device
Address(Number and Street) ❑ El 6. Hydroelectric Power Device
Oakland C IN 47660 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State code [minor ❑ rj 8. Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 2 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.
('A Not available
,in all counties.)
Address(Number and Street) 2`— V — ,Q 0 _ 3 i`_ O u ` • li , -0 V7
Jimmy Jenkins Kathy Jean Jenkins
City,State ZIP Code County Primary propertyowner contact name E-mail