Homestead_Hightshoe INDIANA SALES DISCLOSURE FORM SDF ID: Paget
£D'.-PREPARERI :' ;,_- ,s ; _ iA u Z. , ,I
Deena Hendrickson Closing Services
Preparer of the 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(tilreeionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
Dan J. Gilbert Lou Ann Gilbert
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
1704 Brentwood Dr 1704 Brentwood Dr
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670
Under penalties of perjury,I hereby certify that this Sales Disclosure,too the best of my knowledge and belief,is true,correct
and etc as req{t(re by 1 v,and is prepared in accordance with I 5.$„Real P operty alesDisclosure Act".
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Signature of Seller C�/) ,�/ Signora eof Seller
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Dan J.Gilbert /of. Lou Ann Gilbert - /�� 26/�
Printed Name of Seller gn Dar (MM/a0/YYn) Printed Name of Seller Sign te( t/DD/YYYY)
EEfiBUYER(S')`CGR't1NTEE(SAEBLICATIONIEORIP-RORERTLY6TAXiDEDUGTIONS'UDENTIEWA-LL4ITENISLTHA '}• • - • -r -,,-I
Stephen W. Hightshoe April D. Hightshoe
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
12412 N 1790 Blvd 12412 N 1790 Blvd A
Address(Number and Street) Address plumber and Street) P
Mount Carmel, IL 62863-4447 Mount Carmel, IL 62863-3447 23 '' /!/
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. 4iJQ/%,
YES NO CONDITION YES NO CONDITION R
[ ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
1704 Brentwood Drive 0 S.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Princeton. '47670 Gibson ❑ �0 .Geothermal Energy Heating/Cooling Device
City,State code County ❑ LJ8. 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,provide property via e-mail?(Provide contact information
complete address of residence being vacated, below.Please see instructions for more information.
including county: ,j/nA N/ott available in allll c�ouunties),
Address(Number and Street) �. d—/�-'^"- /v/- OW. t V 3-0ol 9
C�Stephen W. Hightshoe April D. Hightshoe
City,State ZIP Code County Primary property owner contact name E-mail