Homestead_Genest-Magee INDIANA SALES DISCLOSURE FORM SDFID: Page 2
D.PREPARER .
Deena Hendrickson Closing Services
Preparerof the Sales Disclosure Form Tide
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 (812)759-5555 closines17reeionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
•
-. + :
Matthew D. Lundberg Misty D. Lundberg
Seller 1-Name as appears on conveyance document Seller]-Name as appears on conveyance document
230 N Third Avenue 230 N Third Avenue
Address(Number and Street) - Address(Number and Street)
Oakland City, IN 47660 Oakland City, IN 47660
State,ana Lir woe
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an ple required by ,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Sign r L.t. k-cli b -S
ignature ofSel er �/ Signatu ller /�
Matthew D. Lundberg �2/2 M Misty D. Lundberg �j iL A j !
Printed Name of Seller Sign Date((IIIIIM/DD/Y TM Printed Name of Seller g' n •1 MM,.D/YYYI)
F.BUYERF9/GRANTEE S)-APPLICATION FOR PROPER .TAX•DEDUCTIONS--.IDENTIFY ALL-ITEMS THAT APPLY.
Priscilla A.Genest-Magee Steven P. Magee JAN-3 2019
rice document Buyer2 Name as appears on conveyance document
2Q72 SW White Church Road 2Q72 SW White Church Road
Addres(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
Y NO CONDITION ESN
❑ 1.Will this property be the buyer's primary ❑ 3.Homeste
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑ o S.Wind Power Device
603 E Rolling Hills Road
Address(Number and Street) ❑ El 6. Hydroelectric Power Device
Print on, IN 47670 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device
City m ezlpCode county ❑ L Jt 8. Is this property a residential rental property?
0 2.Does the buyer have a homestead in Indiana to be ❑ El 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
incl din county:/a below. Please see instructions for more information.
2072 5W [Ale /4aeA Q . Not available in all counties.)
V. .tF-/a-OS-ioo -Do y..1.3a -o a
Adkess(Num@ and Street) Priscilla A. Genest-Magee Steven P. Magee
hare ,�h ez_4( �74'7il C7t b5on g g
city,State ZIP Code' County Primary property owner contact name E-mail
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 Sales Disclosure Act".(Note:
Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is