Homestead_Overton (4) INDIANA SALES DISCLOSURE FORM SDF ID: Paget
j:L'.•,PRE!?ARERI. , - -. .. _ ,�
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 closinesnreeionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
Steven R.Thomas Edna M. Thomas
Seller I-Name as appears an conveyance document Seller 1-Name as appears on conveyance document
9904 \Vinyard Place 9904 Wnnyard Place
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665 1 Owensville, IN 47665
htate and LWP(ale
5', dC,; 4%
Telephone Number E-mail 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
and co lete a '
require aw,and is prepared in accordance with 1 6-1.1-5.5,"Real Property Sales Disclosure Act".
Si aturea Seller Signature
Steven R. Thomas Q//i&/q Edna M. Thomas 0 (p/
Printed Name of Seller Si n Dat (M /oo/YnT) Printed Name of Seller ign [e(M.N/a0/ITri)
UYER(S1-7GRANTEE(S1L_ARP1illGATIONuFORZP.R06ERVMWDEDUETIONS IDENTIEYeALL'ITEMSiTiHAATiAPP.CY'
C�h��_r�is•tin Elizabeth Overton
� LName as appears on conveyance ch. ent Buyer 2-Name as appears on conveyance doc t
/ m .3() HI I 00 likfbS7
Address(Number and Street Address(Number and Street)
I N
Telephone Number l0 E-mail
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THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERT IDENTIFY ALL OF a Y.
ITS /, 0 CONDITION CO(/�j,
[� ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead Yq(/0j
residence? Provide complete address of prim . o ar Energy Heating/Conlin ijrstem
residence,including county: ❑
123
9904 Winyard Place 5.Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Owensville, N 47665 Gibson ❑ 21 /7-Geothermal Energy Heating/Cooling Device
City,State ZIP a County ❑ L^� a 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
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below. Please see instructions for more information.
/J/ �J Not availableaJJt in all COL117/t-ies.) 9
Address(Number and Street) Qf IO - /7 09-oroce— 04- /o" oz/
Christin Elizabeth Overton
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:
Number License/ID/Other Number