Homestead_Bechtel INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
�DYP,RE$ARER{ �4 • a I
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THOMAS L. MONTGOMERY GENERAL MANAGER
Preparer of the Sales Disclosure Form Title
101 PLAZA EAST BLVD.. STE. 102 TRUE TITLE SERVICE. LLC
Address(Number and Street) Company
EVANSVILLE.IN 47715 812.402.6555 closines rrhi truetitlein.com
City,State,and ZIP Code Telephone Number E-mail
JAMES A. ROBINSON JENNIFER K. ROBINSON
Seller 1-Name as appears on conveyance document Seller I-Name as appears on conveyance document
6657 W.North Street 6657 W. North Street
4ddress(Number and Street) Address(Number and Street)
Unde enalties of pe r ry;I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct_
an co (Mete afire. . • - I by law,and is prepared in accordance with 1.1-5.5,"Real Prope Sales Disclosure Act". .
//C , , 112- .
' -' n are of Seller
7Ai S A. ROBLNSON 10 '/ $Q / 2018 t TNIFER K'ROBINSON ) / 3O /2018
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller - Sign Date(Mm/DD/YYYI)
EFrBUYiERCSly/.GRANTEE(SWA'PPLICKTil0 IE0R4EROP-ERiTWLTAX4'DE IJC,TIONSZIDENTIF,Y(ALLIITEMSA AVAP.PLY -._— 7
MICA}A:-BECHTEL - • AMANDA R. BECHTEL • ,��
Buyei 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document J
11200 N.Street 11200 N.Street
Address(Number and Street) ddress(Number and Street) `-.!
rkb
Cynthiana,IN 47612 Cynthiana,IN 47612 A/Ok ) /
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. :-7.u.}i' .
YES NO CONDITION
dYES NO CONDITION ^t(r�rTO�
❑ 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: ❑ p 5.Wind Power Device
6657 W North ST -
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Owensville.IN 47665 Gibson ❑ Z / 7.Geothermal Energy Heating/Cooling Device
li ,Smte ZlP Lode County
❑ II-41 8,is this property a residential rental property?
U ❑ 2. Does the buyer have homestead in Indiana to be ❑ El 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,
inclu I coo below. Please see instructions for more information.
00 n 0 g Not available in all counties.)
\ 1� I� h 1. �� Not available
t .1ao-O
ddress(Nu an Street)
MICAH A. BECHTEL R AMANDA R. BECHTEL
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city, Zl ode l�� County Primary property owner contact name E-mail