Homestead_Orr INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
SD::P,REPARER`C-- t _ ;— - --- ,7:-
CHRISTINA LENFERS CLOSING AGENT
Prepare,of the Sales Disclosure Form Title
501 MAIN ST STE 101 BOSSE TITLE CO
Address(Number and Street) Company
EVANSVILLE IN 47708 812-421-4000
City,State,and ZIP Code Telephone Number E-mail
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£.SELLER(S)%GRANTOR(S)"----- __���._- -TT TT:. - tiF- _ _-_ _ _
TERRY W.ORR SHANNON P ORR `���J
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
317 EDEN ISI ES BI VD SAME OCT 2 2018
Address(Number and Street) Address(Number and Street)
SILDELL.LA 70458 -
CityState,and ZIP Code City,State,and ZIP Code {;q. —
E-mail 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
and complete as required by law,and is repared in a rdance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
TERRY W.ORR _ SHANNON P ORR
P •
rinted Name ofseller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YrMY)
FF:.137ER(Sjj,G}tA1 T APPDC-ATI0N FOR PROP,ERTtYrTAX;DEDUC-TI0NSzIDENTIFY'ALL:ITEMStTHATAPPL'Y7 ,
MATTHEW W.
Bu n conveyance document Buyer 2-Name as appears an conveyance document
241E795S
Address(Number and Street) Address(Number and Street)
FORT BRANCH IN 47648
CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES O CONDITION YES NO CONDITION
0 1.Will this property be the buyer's primary Q�❑ 3-Homestead
residence? Provide complete address of primary ❑ F4.Solar Energy Hearing/Cooling System
residence,including county:
❑ ( i S.SS.Wind Power Device
Address(Number and Street) ❑ R/ 6.Hydroelectric Power Device •
City,Stale ZIP Cod County ❑ ,,—f 7.Geothermal Energy Heating/Cooling Device
❑ [.L Does the buyer have a homestead in Indiana to be ❑ t�� 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ g 9.Would you like to receive tax statements for this
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)
ale-19- 9 —%.b — obl - ci-L1 — aa4
City,State ZIP Code County
Primary property owner contact name E-mail•
Number License/ID/Other Number