Homestead_Straw INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
.D-.PREFARER-'-..S- F.:5..:-'" 4 _' = - ,. t_3._'Ja .f^ it'4 r - ,A:alt.5 t..: `:'i'-• •'i . t. ?7
Dana Belcher
Processor
Preparer of the Soles Disclosure Form Title
2301 N. Burkhardt Road First Advantage Title
Address(Number and Street) Company
Evansville. IN 47715 (
E-mail
,
"ESELLERSf -RfNTOR(S jz -R- 9era."--v:rf s -. ` ° 7-r o ' a .ma ra_ .-.- r s:;<c - =>wc ._'; . - 271...
Chri<March •
Sc' r -N me as or rs one .a iced come 1 Seller 2-Name as appears on conveyance document
A YV(N mb and Stre l ( (NumberStreet)
j- -er 1 1 4 I C„ Address and
City,
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 con
'A(/'7�e�/Jas required"/b/�/y�)law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Agw.ure aj Se/le! R jA I Signature of Seller
f.hris Marsh I.
Printe Sion-Date(1MM own Printed Name o Seller Sian Date MM/00/YYY)
-,BUY,ERS)/GR/iN_ E(S) APPLICATIONtFORPRORERTYTAX.DEDUCTIONS='IDENTIFYAL'LIT, _ r r1 . _ - ',_.,,-
Michelle Straw
r co 'eyonce document Buyer 2 Name as appears on conveyance document
_- tfNumbet and Strr 1 ,—) ` ` Address(Number and Street) AUG22 ZU19
City
DEDUCTIONS FOR THIS P RTY. IDENTIFY ALL OFTHOS AT APPLY.
YES NO CONDITION , YES NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3. Homestead
res' ? Provide complete address of prima n n ,, •
- eating/Cooling System
Liden e, I chiding county:4 ' n .Wind Power Device
1 Ad,-e3 (Number Streetand ❑ 0 6.Hydroelectric Power Device
1
'
'r\ ❑ 0 7. Geothermal Energy Heating/Cooling Device
Ciry,Stare ZIP Code County
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 9.Wo e o rece Cements for this
complete address of residence being vacated, property via e-mail?(Provide contact -notion
including county: below.Please see instructions for more inform on.
Not available in all counties,)
Address(Number and Street)
2C —\2—o-1—tio3 —Oo3 -Lktk- 02R
City,Snae ZIP Code County