Homestead_Wyatt (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Dana Belcher Processor
Prepo rer of the Sales Disclosure Form Title
2301 N. Burkhardt Road First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715 (
E-mail
T ;ra ..94-`_e7 S 4 — , le'. - Wa1.rs' ,f'ri ..:7- v >,E�SEL•L'EIS)/GRANT,URSS)r ; �_,� .",._�-� �----�. r✓F� _r__...�.. _ _ � 717PV_7-etn
Estate of Marlin W Stilley
Sell r I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
C(423 1 1m Y Co ce
Address(Number and S !) Address(Number and Street)
WaAe5u'Mc.iN L17(p5
City,State,and ZIP Code City,State,and ZIP Code
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
and omplete as r uired bow,and is prepared in accordance with IC 6-1.1-S.S,"Real Property Sales Disclosure Act".
V 4*(44 lm �U a ApaLL�
Signature of Seller Signature of Seller
IRaW;n. 5 1 + . -I Rea ev ltn+ve 4-1/ZG/I q
e Name of Seller Sian Date lMM/DD/nTY) Printed Name of Seller Sian Date(MN/ao/Yrit)
E:i3UYERtS)%GRA rttE( Vit',APPLI'GAT10t.- , `'PROPERTy:4TA&•DED.U.CtiONS 1DENTIEY ALL'`.ITiely r ,R"r - =`-?_
Mark E.Wyatt
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
Ou F . Elm eI (1eo;l., MAY
m erandStreet) Address(Number and Street) 06,1019
-t, N a l
E-mail Telephone Number NTy AUDITOR 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
a ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary / 4. o ea mg/Cooling System
residence, including county:/ I 32. E- ` ,seh nr Ltel El ❑✓ 5.f1ind Power Device
A dress(Number and Street) J ❑ ❑ 6.Hydroelectric Power Device
1G(,m105-t li ='N 4 7C�'3c1 t "1'4;7exn ❑ ❑ 7.Geothermal Energy Heating/Cooling Device
/
City, are ZIP Code County.
❑ 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 ❑ 1 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.
LOCI E. rI(P, 5t-reciy
d ress(Number and Street e
PA(4 apt, TN Li76?2i e,.5on 1- KacK E WYG1-1- 2609.3z/n-ocn.V/So2v
city State ZIP Code County
1 Pmmary property ow,er contort name E-mail
Number License/ID/Other Number