Homestead_Hawkins INDIANA SALES DISCLOSURE FORM SDF ID: Paget
.D:FREPARE _.'tee :.a- ,:t .r.. E ,, R ,<,`, t;y o-QW,a-°" '`a::,r `4` a .nr:;:-.2 ;Mra a_ . r. ,
Jennifer Wade Closer
Preparer of die Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 (812)759-5555 closines(aireeionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
.._.t.. , e te _. ; i- _, 4..c,,,.i n.. F 4a., f . -. + +SiSr's. S .. . v �g.-f4 � 1:.�--7
Alann M. Witt Brenda F. Witt
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
1753 Outer Lake Rd 1753 Outer Lake Rd
Address(Number and Street) Address(Number and Street)
P�}°°r(
E-mail
Under penalties of perjury,I 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 I -1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller // Signature of Seller I •
Alarm M. Witt 0772 {2Qil Brenda F. Witt Og/ / 4/r
Printed Name of Seller Sign Date(M /DD/{{YTY) Printed Name of Seller T'� ggg Sign Date(MM/DD/YYYY)
•F:HUN-ER(S)/GRANTEE1SIi='APPLlCATIONRFOR:PROPERTY.TAX<DEDUCTIONS=IDENTIFY:AftTl- A Yr•� °`"i'`"t " `
Brian Hawkins) /
Byer I-MTh,. ..., rs on conveyance document Buyer 2-Name as appears on canveyance document
324 W Emerson St OCT I - nig
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALI.OF THOSE THAT APPLY.
YES CONDITION YES NO_COLLDITION
1.Will this property be the buyer's primary �[�❑ 3. Homes
residence? Provide complete address of primary ❑ p . o ar nergy Heating/Cooling System
residence,including county: ❑ p 5.Wind Power Device
S Concord Drive ❑ I 6. Hydroelectric Power Device
Address(Number and Street)
Princeton, IN 47670 Gibson ❑ geothermal Energy Heating/Cooling Device
Gry tareZlPCode county ❑ 8. Is 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,provideproperty via e-mail?(Provide contact information
complete address of residence being vacated, below. Please see instructions for more information.
'i-ncludingcounty: j
32 L.' r - E-Wt?JeS0„ /SI d Notavailable in all counties.)
Ad jess(NumberandSneet I �7 j _ /f 'ice— /0 / . 0 0 /• 9 4 v-o a 7
i'Yl ncatvnn, I J (-1"I I0 1 d Ci ),%ey . Brian Hawkins
City,State ZIP Code County Primary property owner contact name E-mail
Number License/ID/Other Number