Homestead_Hagen INDIANA SALES DISCLOSURE FORM SDFID: Paget
WydREP ER:a
THOMAS L.MONTGOMERY GENERAL MANAGER
Preparer of the Sales Disclosure Form Title
101 PLAZA EAST BLVD., STE. 102 TRUE TITLE SERVICE,LLC
I Address(Number and Street) Company
EVANSVILLE,IN 47715 812.402.6555 closinesetruetitlein.com
City,State,and ZIP Code Telephone Number E-mail
I I
I VANDERBILT MORTGAGE&FINCANCE, INC
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
500 Alcoa Trail
ddress(Number and Street) Address(Number and Street)
Maryville,TN 37804
Telephone Number E-mail
Under penalties of perj ,I he y certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as requi d by Iry and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller ,Aye i Signature of Seller -
1 I11ht o}tti01'1 i 1 / a /2019
PrIntedlicigle nicety Sign Date(MM/DD/mT) Printed Name of Seller Sign Date(KN/DD/YYYY)
tt>?t`1 MlER(S+1T,GRANOEE(S1:� P.L'IGTTION-ROR.P.ROPFiR,TagA7CCDEI).UCH'IONSC5IDENilifF.Yz39L•'IA S T.A WSv
AI�TDREVJ D. HAGEN �J
Buyer1 Name rsa ce document Buyer 2-Name as appears on conveyance document
iv OS Griffin Road e
ddress(Number and Street) Address(Number and Street) I L6 2 2 2019
Griffin,IN 47616
•
E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PRO ua' t .. . S.OSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary �j 0 3.Homestead
residence? Provide complete address of primary al - eating/Cooling System
residence,including county: 0
8737 S Meadow LIST H 5.Wind Power Device
Address(Number and Street) 0 2 6.Hydroelectric Power Device .- .
Owensville,IN 47665 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device •
Ciry,State Zl Code County
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❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ B 9.Would you like to receive tax statements for this
complete address of residence being vacated, opertyvia e-mail?'(Prove ct information
including county: below.Please see instructions for more . rmation.
l �Notavailable in all( v
counties.) ,^
Address(Number and Street) .-1-6
eet) -1 L _ _\ 00-004. 7\6 - 2I
W D. HAGEN
at State ZIP Code County Primary property owner contact name E-mail
Under penalties of perjury,I hereby certify that this Sales Disdosure,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/1D/Other Number