Homestead_Slunder (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
iiit FPARERr, ... _ .s_ 1 : , '.' .. • ym 4 -„_ ' 4 1!?11 y--W77,F4 s7 «^', _
Lynette Murray Processor
Preporer of the Sales Disclosure Form Title
2301 N Burkhardt Rd First Advantage Title
Address(Number and Street) Company
Evansville. IN 47715
Number E-mail
I I
� _�—T_ — n
•
EESSELL'ER(S/GRANT,OR(W n'ki`'�:r-. -,_ , _,;_ 'lrl _._».'. ;.-.742.111. F.,__17,ri_''Y7/
Secretary of Housing and Urban Development
Seller I-Name as appears on conveyance document Seller 2-Maine as appears on conveyance document
iAddress(Number and Street) I Address(Number and Street)
City,.State,and ZIP Code I City,State,and ZIP Code
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
andlcomplete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
V/)SignatureofSeller Signature of Seller
• Secretary of Housing and Urban Develooment
Printed Name of Seller Sian Date(MM/DD/Rn) Printed Name of Seller Sion Date(M,N/O0/1111)
F:Bf1YPRFCY)(:LtANTEE(S APPLICATION.1FOR4PROPERWPVTAXI)ED ' q,,_ „:^r •IFYAPLVT,6NS,T,HAT,APPL'Y,1 g;w 4,1.._7 ;(. c
Felicia M Slunder Aaron K Wapner
s n conveyance docuinert I . ......_ er .n on conveyance document
Addres((Numraid trreeYet
Telephone Number E-mail Telephone Number E-mail
TIIE SALES DISCLOSURE FORM MAY BE USED TU APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROP THOSE THAT APPLY.
YES N - CONDITION 1.Will this property be the buyer's primary YES NO CONDITION
❑ 3.Homestead ED
residence?e Provide complete address of primar rl r_a—, (',�1.._�__ ating/Cooling System
Wn?mittt/ /LJy� ❑ ❑✓ 5.Wind Power DevAPR 4 2019
Addre/y'-
-'uummbberandStr e, 111 /' /w�/I 6.Hydroelectric Power Device
UjensviPIU 1 y ' " /2C'c ❑ 0 7.Geothermal Ener Hea ' mg Device
City,State ZIP Code Comity �t
❑ ❑ 2. Does the buyer have a homestead in Indiana to be ❑ 2 8. Is this prieitc§b ltd irierAnlfblTpmerty?
vacated for this residence? If yes, provide ❑ ❑✓ 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: cCPlease see lls or more information.
Not available in all counties.)
Address(Number and Street)
9:.
City State ZIP Code County 1� '- l6- 10 -0 0 4 . R-5.7 -02
Prima?) OLVIICT Lan aC name .mall
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
,
- '__--... -—