Homestead_McDaniels INDIANA SALES DISCLOSURE FORM SDFID: Patel
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Stacy Brown Closing Services
Preparer of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street Company
Evansville,IN 47715 (
Garren Hill Kimberly Hill
Selle l-Nameasappea an conveyance docum nt Seller l-Name as appears an conveyance document
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Ad r,'A"�y(Nu 6a an Street A-d�p��hss1('Nuum�b-e�r7a�ndStreet) 1-�-7 �7
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 plete as re aired by law,and is prepared in accordance with I 6-1.1-5.5,"Real Property Sales Disclosure Act".
S nature of Seller Sig ature of Seller �t /
Garren Hill 00/ 09 Kim rly Hill )2 S
Printed Nam of Sign te( M/Do/YYYY) Printed Name al Seller Sign te(MM D/YYYY)
4F' YER S 1 GRANTEE S t �Al?BLI@ATION9FORIP.ROP.ER'T,Y.TAXIDEDUCTIONS71R)ENTIF:YfALL ITEMS6THAVAP.PI."Yl
Matthew J. McDaniels Jenny E.McDaniels
Buyer]-Name as appears onto ocvment Buyer 2-Name as appears on conveyance document
34 NOr i 134 Nordic Way
Address(Number and Street) Address(Number and Street)
Singler, WI 53086 Singler, WI 53086
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPER .-HmNt1FY ALL OF THOSE TIIATAF Y. FILED
Y ES NO CONDITION 7NO CONDTION
❑ 1.Will this property be the buyer's primary 0 3. Homestead Aug 14 2019
residence? Provide complete address of primary El 4.Solar Energy He ' oolinglirietler
residence,including county:
602 Kennedy Drive ❑ 5. vvlfld ower Device GIBSON COUNTY AUDITOR CB
Address(Number d Street) ❑ El 6. Hydroelectric Power Device
Princeton, 47670 Gibson 0 Ei geothermal Energy Heating/Cooling Device
City,smxz code County ❑ ,ljY 8.Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be ❑ H 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide
pro a- a a-e-mail?.(Provide contact information
complete address of residence being vacated, below.Please see instructions for ore information.
including county: Not available in all counties.)
Address(Number and Street) 26-12-08-203-001. 127-028
City,State ZIP Code County Primary property owner contact name E-mail