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Homestead_McClanahan (2) G INDIANA SALES DISCLOSURE FORM SDFID: Page: I).P,IiEPARERs - 4, 7' 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 closings(&u.resionaltitlellcom City,State,and ZIP Code Telephone Number E-mail Russel Delong • Seller I-Name as appears on conveyance document Seller 1-Name as appears on conveyance document 13 W Red Bank Road 13 W Red Bank Road Address(Number and Street) Address(Number and Street) Fort Branch, IN 47648 Fort Branch, IN 47648 Telephone Number E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an comp ete as ryiquired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Signature f5eller -a / rSlgnatureofSeiler Russel-Delong Z (//�G /Jd 7 \ Printed Name of Seller., Sig Date MM/DD/Yrvnf Printed Name ofSellert Sign Date(M.e/a0/1Y57 ( BE BUYERIFSI%GRtASIMEEISl AEP-iifEATI0NIFOARROPERTiY3TARitiEDUaiIONS- Jfl CONDITION I YES NO CONDITION \ GIBSON COUNTY AUDITOR 1.Will this property be the buyer's primary 1:Erf 0 3. Homestead) residence? Provide complete address of primary - ❑ p 4.Solar Energy Heating/Cooling System residence,including county: i El 5.Wind Power Device 13 W Red Bank Road Address(Number and Street) ❑ Q 6-Hydroelectric Power Device iFo Branch, IN 47648 ': Gibson ❑ ^El 7.Geothermal Energy Heating/Cooling Device CI ,Sm[eZIPcode County ❑ LH"/R Is this property a residential rental property? ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 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 � n/\I1 including county: below.Please see instructions for more information. WU"l S l_i-iCo\{1 Not available/ �J in all counties.) J (A,ad�ress u`� r�and'Street) (� ' l_ �-,ga,gi�jaaa�I —OZ' L y• rat wv�ijA t. I i L(1 U L(i G(YI c�\ _Andrew McClanahan Tom L. Wallace uy,State ZIP Code - County Primary property owner contact name E-mail Hi-amp/IO/usher Number Number License/ID/Other Number