Homestead_Everly INDIANASALES DISCLOSURE FORM SDF ID: Paget
-D. PREPARER _ . _ _ -THOMAS L. MONTGOMERY GENERAL MANAGER
Preparer of the Sales Disclosure Form Title
101 PLAZA EAST BLVD., STE. 102 TRUE TITLE SERVICE, LLC
Address(Number and Street) Company
EVANSVILLE, IN 47715
mail
CHARLES E. SHAW II BRENDA K. SHAW
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
439 E. Hirsch Woods Lane 439 E. Hirsch Woods Lane
4ddress(Number and Street) Address(Number and Street)
Haubstadt,IN 47639 Haubstadt,IN 47639
State,and ZIP Code State,and ZIP Code
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 plete as required by law,and is prepared in accordance with 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
CHARLES E. SHAW II 05/02/19 BRENDA K. SHAW 05/02/19
Printed Nfunr foal Sign Date(MM/DD/IYn) Printed Name of Seller Sign Date(MM/Do/Yrrri
• F. YERIS)/GRANTEE(S)•- PLICATION FOR:PROPERTY'TAX.DEDUCTIONS- IDENTIFYALL ITEMS THAT°APPLY
LOGAN N. EVERLY L -
Buy -Name at nnnra,s.eunce omen[ 2.1 T-, ores yarson conveys ce dacvme t
706 Greenleaf Drive /f f{�a /�.
4ddress(N'umberand Street) Add vumber an Street), ( lMv) �7
Evansville, IN 47710 vah5 viIt" /
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR ' S PROPERTY. IDENTIFY ALL 0 . E ••AT APPLY
Y NO CONDITION ESN YES NO CONDITION MAY 1 5 1019
❑ 1.Will this property be the buyer's primary �❑ 3. Homestead
residence? Provide complete address of primary ❑ p .. o -r n• •- 'eatin_ ooli em
residence,including county: ❑
5.Wind Power Device
439 E. Hirsch Woods Lane UN
Address(Number and Street) ❑ El 6. Hydroelectri Bice o ver DevicCOe
Haubstadt, IN 47639 Gibson ❑ RI /7.Geothermal Energy Heating/Cooling Device
cir State ZIP Code County ❑ ,LI-4/ 8. Is this property a residential rental property?TY AUDITOR
❑ 2. Does the buyer have a homestead in Indiana to be ❑ RI 9.Would receive tax statements for this
vacated for this residence? If yes,provide property via e-mail?(Prove ct information
complete address of residence being vacated, below. Please see instructions for more oration.
including coupw:
Not available
in all
counties.)_7ODb pcn\eaL pc- � ^ -vt--23DVna . ' — DC3-tress N mbera dST )AACv((n ` ierlf t \N Q "11IQ LOGAN N. EVERLY R HANNAH L. EVERLY
City,State ZIP Code county Primaryp operryowner c -mail