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INDIANA SALES DISCLOSURE FORM SDF ID: Paget
ED?.PREPA`RERt-;. , .-='� _ � ,. .,•, ,_o : . .,, , .. a� ^, - ,_ . .,
Jennifer Wade Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Streer) Company
Evansville, IN 47715 (812)759-5555 closines(alreeionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
Ellis Estates, LLC
Seller I-Name as appears on conveyance document Seller I-Name as appears on conveyance document
7199 Newman Road
Address(Number and Street) Address(Number and Street)
Elberfeld, IN 47613
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 IC 6-1.1-5.5,"Real Property S •�
closure Act".
?Signature of Seller J Signature of Seller
Ellis•Estates, LLC /0//J3/I/20/2
—hinted Name ofSele� Sigh Date((IM/DD/Yrri Printed Name of Seller 0 p Sign DcaffmaktIvym3
EB:BUXIER'(Sf/GRAnTEE(S EABPISICATIONJEORIPROPERVAITAX(DEDUCTIONSQIDENTIEWKIIIIITBti]S_T T1AP-P.CYI_7OIa" - 1
Matthew L. Syfert Shannon E. Syfert G/a ) l•
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance do
115 \V Central St 115 W Central St OUNryP
Address(Number and Street) Address(Number and Street) //Q
Sigel, IL 62462 Sigel, IL 62462 iTOR
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
!❑� 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: ❑
301 E Olive Drive 0 5.Wind Power Device
Address(Number and Street) ❑ . Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
n ❑ 8. Is this property a residential rental property?
0 _ 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.
Notavailable�� in all)counties.),,f
Address(Number and Street) t/' �o?-/I "`'y -t%`�3. /" - ad?
Matthew L. Svfert Shannon E. Syfert
City,State ZIP Code County Primary property owner contact name E-mail