Homestead_Tindle INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Lynette Murray Processor
Prepareroj the Sales Disclosure Form Title
2301 N Burkhardt Rd First Advantage Title
Address(Number and Street)
E.SELLER(S)JGRANTOR(S)-:, _ . _ _,
David R Fvans
Seller I-Name as app ears on conveyance document Seller 2-Name as appears on conveyance document
2111( old . 54. RJ
Address(Number and Street) Address(Number and Street)
C!-4n Sri1t a-. y7?LO
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
nd complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
a'-
Signature of Seller Signature of Seller
David R Fvans
Printed Name of Seller Sign Date(MM/DD/1TYy_ Printed Name of Seller Sian Date IMM/DD/YY'1)
F..BUYER S 'GRANTEE(,-APPLICATION FOR'.P ROPERTY'TAXDEDUCTIONS-;IDENTIFY.AL'L ITEMS A PLl 1
••..drow Tindle
... • • •...•tson conveyance document Buyer 2-Name as appears on conveyance document
0S S M;U St AUG ii 2019
Address(Number and Street) Address(Number and Street)
Owe nS �l(1e) IN kl &G')
E-mail Telephone Number 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 N
❑ 1.Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of primary ❑ ❑ 4. Solar Energy Heating/Cooling System
residence,including county:
SOS S M.111 S4' ❑ ❑✓ S.Wind Power Device
Address(Number and Street) ❑ WI 6. Hydroelectric Power Device
Owen S V 111P)1 V 6 6S G16 son ❑ 0 7. Geothermal Energy Heating/Cooling Device
City,Story Z Code County
❑ a 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 ❑ 0 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.
Not available in all counties.)
Address(Number and Street)
PI 4-/ 7 - I A - doY - oov• s7Y-oar
City,State ZIP Code County
Primary property owner contact name E-mail
Number License/ID/Other Number