Homestead_Steele INDIANASALES DISCLOSURE FORM SDF ID: Page 2
foRREPARER ;'t, - Za� ' gm -%-r r -.„ k-av .'s egma R4,—. — .
Timothy Shea Closing Services
Preparer of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville,IN 47715 (
'r' = "'3 :- ' .e--+ reg?;-% 'v'Tt s,- �-'- . 3 'ri`f 4- h k!. ,.3s
Kevin A. Cox Rhea D. Cox
Seller I-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
426 S Bradley Drive 426 S Bradley Drive
Address(Number and Sweet) Address(Number and Street)
Haubstadt, IN 47639 Haubstadt, IN 47639
Under penal - s of • hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an� L law,and is prepared in accordance wikJ{(C 6-1.1'1h�-5;�Re Pr�rty Sales Disclosure Act".
Signature o Seller _ Signature of Seller t
Kevin A.Cox de/N29/9 Rhea D. Cox :.Nfil/�)7
Printed Name of Seller Si de/N29/9
Printed Name of Seller Sign Date(MM/DD/YYYY)
EgBUYER(SWGRANTEE(SIgaP.RL'TGATICaF0R EROPERSTAMEDUGHONSNID6NTIEFYAI:L TTEMMSOI ATAPP.IWI e-- u
Joshua R.Steele Candace It Steele
Buyer I-Name as appears on conveyance document Buyer 2-Nome as appears an conveyance document
3015 Adams Avenue 3015 Adams Avenue
Address(Number and Street) Address(Number endSa-eet)
Evansville, IN 47714 Evansville, IN 47714
State,and ZIP Code .
PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITON NO CONDITION
❑ 1.Will this property be the buyer's primary YES❑� ❑ 3.Homestead FILED
residence? Provide complete address of primary ❑ El 4.Solar Energy Heating/Cooling System
residence,including county: ❑ p 5,Wind Power Device Apr 22 2019
426 Bradley Drive ❑ H 6.Hydroelectric Power Dev c�`—
Addres(Number and Street)
Haubstadt, L i 47639 Gibson ❑ Geothermal Energy H 6PJC66LYtfDAlif&OR CB
Ci ,State ZIP Code County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ B.Is this property a residential rental property?
vacated for this residence? If yes,provide IllPI 9-Would you like to ceive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
below.Please see instructions for more information.
yncludir/s county: Not available in all counties.)
SO/.5 /-�i{uM 5 f Ye/14/2
Address Number and Sleet') n� _ `' + Q 6 a 3 -0b - 3C0 - 000. 6, 3.b0�'
rvvrat5vdfe)-, P �' 7/ / Vitt 2(�'it.fi in Jos ua R teele Candace R Steele
Oty,State ZIP Code (Founry Primary property owner contact name E-mail