HomeMy WebLinkAboutHomestead_Reinhart INDIANA SALES DISCLOSURE FORM SDFID: Page 2
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Timothy Shea Closing Services
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 (
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William Rogers Debra Rogers
Seller!-Name as appears on conveyance document 11 Seller l-Name as appears on conveyance document
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Address(Number and Street df Address(Number and Street) 1_ J
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E-mail
-U der penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an omplete as required by law,and is prepared in accordance with IC 66--1.1-p5.5,5,"-Rea, �operty Sales Disclosure Act".
-11
Signature o/Se!r• Signature of Seller
William Rogers JJ;,S/2i24019 Debra Rogers ( '�!/ 9/7
Print ometfS Sign Date(MM/OD/YYYY) Printed Name of Seller Sign e(e(MM D/YYYr)
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qE. Rei nhart •
pears on conveyance document Buyer 2-Name as appears on conveyance document II LED
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Address(Numbaer an Street Address(Number and Street) May 24 2019
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State,and ZIP Cade State,and ZIP Code
1,4 , L17(r L}b/ GIBSON COUNTY AUDITOR CB
TY. IDENTIFY ALL OF Till's E FHc1T APPLY.
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�❑ES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary P1 4.Solar Enerpv us.
a ITI /Cooling System
residence,including county: ❑
426 S Main Street IZI S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Oakland City, IN 47660 Gibson 0 � 7. Geothermal Energy Heating/Cooling Device
pry,smm Prade County ❑ A 8.1s this property a residential rental property?
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ lEt 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide
complete address of residence being vacated, property via e-ma' ct information
below. e see
including county: easr instru tions for more ino ion.
No vailable in all counties.)
Address(Number and Street) 26-14-18-304-000 . 521-007
James E. Reinha
City,State ZIP Code - County Primary property owner contact name
Number License/ID/Other Number