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Homestead_Holder INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D-PREFARER_— Timothy Shea Closing Services Preparer of the Sales Disclosure Form Title 7820 Eagle Crest Blvd Ste 201 Regional Title Services Address(,✓-umber and Street) Company Evansville, IN 47715 (812)759-5555 closinss(n�reeionaltitlellcom City,State,and ZIP Code Telephone Number E-mail Wilma Geraldine(Hill)Regenhold Revocable Living Trust Seller I-Name as appears on conveyance document lrt, Seller 1-Name as appears on conveyance document Address(Number and 5treet)� ('-` Address(Number and Street) utate anal. cdae I Nate,and Lir code r_el IiThiYumbel E-mad 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 complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Viviamre of Seller. L. O t 3/ /9 Signature of Seller Wilma Geraldine,(11iU)Regenhold,lrusteeJ /�2 Printed Name of Seller Signt to(MM/aa/YYYp Printed Name of Seller Sign Date(MM/nnprro F.'!BUYER(Sf/GRi1NTEE(S);7A1?PLICA:TIONeF.OR:P.ROP.ER'TiY_Tt\XrDEDUGTIONSQIDEN'TdF iA'LLITEMSTHATAEELYj. =_ - Tyler Holder ' .. r Buyeer]-Name as appears on conveyance document Buyer 2-Name as appears on con need 1030 N Embree Street Aaaress(Avower ane>a-eet) Aaaress(Number and Street) Princeton, IN 47670 JAN 2 8 2019 Telephone Number fC( E-mail GIBSON COUNTY AUDITOR THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION ( ) ❑ 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: ❑ 41 S 180E 0 5.Wind Power Device Address(Number and Street) ❑ 0 6. Hydroelectric Power Device Princeton, IN 47670 Gibson ❑ az 7.Geothermal Energy Heating/Cooling Device City,Sang' Code County r‘ '.' ❑ 8. Is this property a residential rental property? 0> ©) 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 ncludi county:g below. Please see instructions for more information. i1 Not available in alllccounties.- — Address(Number and Street) 2k- `�- O \-.JV2.-0vO' 6K Tyler Holder City,Stare 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: !Last 5 digits of Buyer 2/Spouse Driver's State Last 5 Digits of Social Security; License/ID/OtherA'umber Number License/ID/Other Number INDIANA SALES DISCLOSURE FORM SDF ID: Paget wDC__—'. ilff -0;x, v"°�T' .9 s4tr s-T r� r`., ^F,*+t,.r-h;Ort "gr+ iN i ''rr2 ^i%fi•- R n`F�o1 a. oERE�PARE$'�.'+' san.a.• :;c�,r�"'�-a'"�,e'.�rm . �.�.r'� ••'�"��i'.'v�'-.iG:,..-s....,:za'��;»vr.:kt.;,,,:n..�.-.�..,e..�.,tt�.,''�'�°vd°'.�`�._:�'u�.i�,,:�._ .,r... �it=ei Timothy Shea Closing Services _ Preparer of the Sales Disclosure Form Tide 7320 F-aale Crest Blvd Ste 201 Regional Title Services Address(Number and Street) Company Evansville,N 47715 (812)759-5555 closingsrla-,reaionaltitlelicom City,State,and ZIP Code Telephone Number E-mail -rya, r ht ,r- ar x p{n� ra:tn,ng.��y.{ : .irf�s-.�' ._ �G: . ,�§:�FisH.`a rala. i3-.�Yi. -_a�.�:b' t'W� �-,�'r.�f._ "ld.� �4'ii:�-r?��'x.H.tl�i�`�j�Y-�..��{' N".L':u�i Imo_ �.t'> �"@'G.'aSS qY Wilma Geraldine(Hill)Regenhold Revocable Living Trust Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document 41S180E Addres(Number and Street) Address(Number and Saeet) Princeton, IN 47670 maze.ana tar woe 5ta[4 aria tlr coat / 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 complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". .1:11/ _7 5.o`CCS-SS. I/ers1G-G- ignoa'reofSeler / Signature of Seller William R. Cox, Successor Trustee of/ 3 .24/9 Printed Name ofSeller Sign Date MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) gE3BINER(SY/GRANSEEISi ?APPL•IaTIOMFOR#P.ROEER'1'+Y TAXABEDUGHONSe iDEiNT1F skin lirE Tyler Holder 1.21 ..Sayers-Name as appears on conveyance document Buyer2 Name as appears on conveyance. m^11'{" 1030 N Embree Street Address thumperona 3aeetl Acores(Number anti oven] JAN 2 8 zuis Princeton, IN47670 Stria,and ZIP Code State,and ZIP Code „Oh,,, ogiatr Telephone Number E-mail Telephone Number GIBSON COON I Y AUUI I OK E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION ❑ 1.Will this property be the buyer's primary ❑ ❑ 3. Homestead residence? Provide complete address of primary I a 4.Solar Energy Heating/Cooling System residence,including county: Q 5.Wind Power Device 41 S 180 E Address(Number and Saeet) 0 0 6. Hydroelectric Power Device Princeton,N 47670 Gibson ❑ a 7.Geothermal Energy Heating/Cooling Device O.y,State ZIP Code rOCOty ❑ ❑ 8.Is this property a residential rental property? ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ vacated for this residence? If yes,provide [7 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 ali counties.) p Addres(Number and Smear) —1L OCk —302-o Q00• Q 6Q Tyler Holder Oty,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 Number License/ID/Other Number