Homestead_Oesterreich INDIANASALES DISCLOSURE FORM SDF ID: Page 2
-DcP,REPARER -...
Crystal Alvarez Title Director
Preparer of the Saks Disclosure Form Tide
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
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.Jeffrey A.Nurrenbem ...... . . . . -
seller I-Name as appen, .onveyance document Seller I-Name as appears on conveyance document
/2 936 S. Sia cr.4 Lr
ddress(Number nd,b-ee�/ Address(Number and Street)
/76 4S 11 1 �P�7 9 76,39
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Telephone Number E-mall 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
an plete as quired by 1 ,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
netts of Seller Signature of Seiler
effre A.Nurrenbem
Printed Name of Seiler n/ JiYYY) Printed Name of Seller Sign Date(MM/DD/YTM
.FsBtnEtifisiXttAIVTEasittrAP-ticheAT[ON?FOR'BROPERTYATAJC+DEDFICFIONS_LNIDENatirS`L ltAiSitattsAPEL1rRra
Michael W.Oesterreich Katherine A. Oesterreich
B ��//1�/�-�-Nctgg��t\\ne an ears on nv anc documelt (� I B er1-Nam`ee as appears on conveyance document
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/ess(4er Get) I f�4 \U\/ 1} �- er and Street)
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THOSE THAT APPLY./Y, -
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3. Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: 0
605 S Willard St 0 5.Wind Power Device
Address(Number and Street) ❑ 0 6. ydroelectric Power Device
Fort Branch,IN 47648 Gibson 0 0 .Geothermal Energy Heating/Cooling Device
Cl y State 3iP Code County 0 8. Is this property a residential rental property?
❑ J 2.Does the buyer have a homestead in Indiana to be 0 0 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-mail?(Provide contact information
including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) 26-19-19-101-000 . 082-026
Michael W. Oesterreich Katherine A. Oesterreich
City,State ZIP Code County Primary property owner contact name E-mail