Homestead_Ott INDIANA SALES DISCLOSURE FORM SDF ID: Paget
'D..P.REPARER --=x — = .. -- - - - 7'_7-7 : —a ,7 -"_ _ '--:1
Deena Hendrickson Closer
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 closings(Thresionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
Korey J. Lamb
Seller l-Name as appears on conveyance document t Seller I-Name as appears a •nveyance document
6155 S 650E 6155 S 650 E
Address(Number and Street) Address(Numbe •ad Street)
Fort Branch, IN 47648 Fort Br. ch, IN 47648
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledg W Ief,' R. ect
and complete a req ' d by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property�alee ctrij� . `
le
Sign mre eller I SlgnaNreafSeller NOV 7 Luis
Korey J. mb S I it"
Printed Name of Seller Sign Dale it/tttbbb/YS"Y) Printed Name of Seller `is (gn D/YYY0
.F.BUYER(S1/GRANTEE1S1t APPLICATIONJFOR PROPERTY.TAX DEDUCTIONStIDENTIFY�ALL ITEMS THA"PhWL L 4 2 - _-_'
David J. Ott Courtney T. Sevier (31BSUN GUUN-1 •+ tWUI I um
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
711 S Walnut St 711 S Walnut St
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660 Oakland
THE SAL DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPE TY. IDENTIFY ALL OF THOSETHAT APP �T T
YES NO - CONDITION YES NO CONDITION tl{1r..I_ jr'J1j rN�..��p
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heatina�600lirigSi3n
residence,including county: El 05.Wind Power Device 1VUV V�
6155S650E
Address(Number and Street) ❑ 0 6.Hydroelectric Power i{{: ice i ,'
/ es•t -4I�Ir
Fort Branch, 47648 Gibson ❑ 0 /7.Geothermal Ens .t • i•J t!e�r11q�J�
State ZIP ode 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,provide property via e-mail?(Provide contact information
complete address of residence being vacated, below.Please see instructions for more information.
including county: Not available in all counties.)
26- Le-07 -LAOO - 000. g7a -OO \
Address(Number and Street)
David J. Ott Courtney T. Sevier
City,State ZIPCode County Primary property owner contact name E-mail