Homestead_Folsom (7) INDIANASALES DISCLOSURE FORM SDF ID: Page 2
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Timothy Shea Closing Services
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 (
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Richard E. Greenwell Janet A. Greenwell
Seller 1-Name as appears an conveyance document Seller 1-Name as appears on conveyance document
907 Mohawk Drive 907 Mohawk Drive
Address(Number and Street) Address(Number and Street) .
Fort Branch, IN 47648 Fort Branch, IN 47648
state,ono LIP Lou � Nate,ana LIP was
N 11 -
TelephoneNumber 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
and complete as
required by law,an is repared in accordance with IC 6-1.1-5.5,"Re-a`l Property Sales Disclosure Act".
Act".
SignatureofSeller Signature d Seller ---
Richard E. Greenwell 9 `ib9 Janet A. Greenwell q /9
Printed Name of Seller Sign DOWN D/YYYY) Printed Name ofSeller sign Date(MM/DO/YYYY)
:ABITYE Sl/fGRANTEE• nl:PPISIGATION€FOIii]?ROl?ERT>5'aTRX?DEDUC-TONSAIDENTIEY)AELNTEMS=THATddP.P.L-Y'`��'k.
ess)ca Lynn Folsom
-ry m as veyance document i Buyer 2-Name as appears on conveyance document
VI h1114
A es ( um on t Address(Number and Street)
- Telephone Number E-mall
Sep 05 2019
THE SALLLLLLFffFff��������OOOO771SCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PRRI2I5RRR'''fffXXX. ENTIFY ALL OF THO T APPLY.
YES CONDITION /YES/ NO CONDITION-
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❑ 1.Will this property be the buyer's primary 'u ❑ 3. Homestead GIBBON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ H 4.Solar eating/Cooling System
residence,including county:
907 Mohawk Drive Wind Power Device
Address(Number and treet) D 0 6. droelectric Power Device
Fort Branch 47648 Gibson ❑ El .Geothermal Energy Heating/Cooling Device
aty,Swte ZIP e County ❑ 8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ p 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
below. Please cee-i rs6vctions for mot rmations
including county: Not ava' lire in all counties.)
Address(Number and Street) Jessica Lynn som 26-19-18-101-001. 146-026
City,State ZIP Code County Primary property owner co «name ��_ Ema
Number License/ID/Other Number