Homestead_Haller INDIANA SALES DISCLOSURE FORM SDF ID: Pie 2
D`PRERARER` a"_ :' ' 2• _`_ ..:.-. :; :ET .. -___._. Th7 '77-ems, - —Th
Kim Loesch Processor
Preparer of the Sales Disclosure Form Title
2301 N Burkhardt Rd First Advantage Title
Address(Number and Street) Company
Evansville. IN 477.15 (812)490-8485 I
City,State,and ZIP Code Telephone Number
` E-mail
I SE SEL'L'ERSS)/,GRAI\'TO Sr.'_ -7A:71.'- - >_ 1 -
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Carl D Parker Teressa A Parker
I - Seller]-Name as appears on conveyance document Seller 2-Name as ap rs onr nveyance document
S
ao 6. @ k�U f
Ad ess(Number and Street)
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 c mplete as iretThy`la and is prepared in accordance with IC 6-1.1-5.5,"Real Pro rty Sales Disclosure Act".
Signature of se er �� Signature of Seller
Cad D Parker Teressa A Parker S//7
Printed Name of Seller Sian D to(itA/OD/nrv) Printed Name of Seller Sian Date Mitt /vm1 '
r1;5BUKEL-alei:B1 fair EST, ABPLICATIONpFORiPROP,ERT_N._lARTI. EDUCTIQNg,;=.+IDENTIFY(AL•LJTMS^THQTiI1PBL\ _ -
Daniel A Haller Tamara J Haller
Byi4s conveyance datum Buyer Name as ppea n conveyance datum...-
Gory.-e Ka - -
AddrrAliV mO ran ,^STeet) V zys—tD Addressss(Num ra A .e )
City,State,
CONDITION
j ' S�/ CONDITION
^NO
❑ 1.Will this property be the buyer's primary 1E LJ 3.Homestead \ - CO #
13
residence? Provide complete address of primary EI 6:---_-: - -rgy Heating/Ong g Sys e ti, <CC)
/ esl en e, i uding cofy: / (� t{{l1 JO
I' cop
�/(/L /r✓� ❑ ❑✓ 5.Wind Power Device - 44 y P
Addr - /rtnb rgnd.Sttr etd n I /A) c(75-20 ❑ 0 6.Hydroelectric Power Devict,'GOv��
I +1 l�L `KJ ❑ 0 7.Geothermal Energy Heathb" oohng Device
City,State ZIP Code County
El 2.Does the buyer have a homestead in Indiana to be ❑ ❑✓ 8.Is this property a residgial rental property?
vacated for this residence? If yes,provide ❑ 0 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: e ow. Please see instrucno lore information.
Not available in all counties.)
Address(Number and Street) at -\`1 - ,....- WI\ _0 o2_ LI lot-0
City,State ZIP Code County •
nary property owner contact name E n
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best o my 'ef,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".(
Number
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