Homestead_Dearing • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Stacy Brown Closing Services 1
Preparerof the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Mather and Street) Company
Evansville,IN 47715 (812)759-5555 closings@regionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
Estate of Chester Garrett, Jr.
Seller1-Name'Free appmn on conveyance davtment Seller 1-Name or amen on emptiedE
3227"free Bark Lane
Address(Murder and Street) Addrem(Number and Street)
Fort Wayne,IN 46804 NOV 1 4 2018
e'anti�er tt•ue,correct
and�mplete as r uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
L i/
Signature ofSeller Signetare ofSeller
Dawn M.Parker,as Personal Representative }y� 5�f,7 �/i
Printed Name of Seiler /- ' Dale(XN/DD/Ire,) Printed Name ofSdkr Shan Datet{at/DD,n)-r)
BUYER-WIG'i A14TE-g1 tAP.P.Ii a-itiION:FOR`iPROPERTY.-TAXrDEDUCTIONMI YERThITY_A-ilMTgirgtiiAT>ARPIIY;"'--- '� "
Dewey E:Dearing Betty L. Dearing
aulri I-Name arappears an nmeyvncedocument Buyer I-Name us appears on ennveyancedemtenent
8250 5.25 W 8250 S.25 W
Address(Number and Street) -. . -1 Address(Number and Street)
Fort Branch,IN 47648 Fort Branch,IN 47648
777E SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE TIIAT APPLY
NOV 1 A 2018
Y� / RI ES "NO CONDON YPS O cONDmON
—
LEY ❑ 1.Will this property be the buyer's primary 3.Homestead
residence? Provide complete address of primary ❑ 0 4-Solar Energy Heating/Ca
residence,including county: g Cj) TY AUDITOR
❑ 0 0'1J
520 S 9th Ave 5.Wind Power DevRe—
Addrm(Number and Street) 0 0 6.Hydroelectric Power Device
Haubstadt,IN 47639 Gibson D 0 },.Geothermal Energy Heating/Cooling Device
aty,sra�
te2IP�o Counry ee
0 L/ 2.Does the buyer have a homestead in Indiana to be ❑ a.is this property a residential rental property?
vacated for this residence? 'Eyes,provide ❑ 0 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) 4-z-04 -2cr -000 -3-8$ -009
- aty.state ZIP Cade County Primary property m er contact name Email