Homestead_Maynard INDIANA SALES DISCLOSURE FORM SDF ID: 2019 Page 2
D. PREPARER
Kristina Watson Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street)
E. SELLER(S)/GRANTOR(S)
Charles A. Egnew Doris A. Egnew
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2804 Lazy Creek Ct 2804 Lazy Creek Ct
Address(Number and Street) Address(Number and Street)
Evansville, IN 47720 Evansville, IN 47720
City, State,and ZIP Code City, State, and ZIP Code
Telephone Number
and complete s re aired by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
Signature'of Seller Signature of Seller 1/ , 15
Charles A. Egnew `t- 1q . , Doris A. Egnew a 'b
Printed Name of Seller Sign Da D/VYYY) Printed Name of Seller : n D.-y-(MM✓DD/YYYY)
"F. BUYER - PPLICATION F QER TAX DEDUCTIONS -IDENTIFY ALL ITEMS THA Pk+
Ni las D.Maynard
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on c a ocument rt.,
828 Lohoff Ave li.
Address(Number and Street) Address(Number and Street)
Evansville, IN 47710 P I v�\�
-
D TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL Ora THAT APP'♦.Y.
N YES NO CONDITION .
0 1. Will this property be the buyers primary nit 0 3. Homestead
residence? Provide complete address of primary ❑ N--4. Solar Energy Heating/Cooling System
residence, including county:
0 5. Wind Power Device
605 E Eisenhower Ln.
Address(Number and Street) ❑ �--$. Hydroelectric Power Device
Haubstadt, IN 47639 I Gibson ❑ �7. Geothermal Energy Heating/Cooling Device
City, State ZIP Code County ❑ 8. Is this I property?
❑ 2. Does the buyer have a homestead in Indiana to be ❑�. ould ou like to receive tax statemen or this
vacated for this residence? If yes, provide complete property via-emai . ontact info 'on
A>nIl address o.,residenf�e being vacated, includin nty: below. Please see instructions for onn on.
0 a G L ' ', I Not available in all counties.)
Addr s Number and Street) `!-G
u 11/0 . • - au- - a - Ioi-c300 . ar7-0a
City, State ZIP Code County brrimary property owner contact name ail
License/ID/Other Number