Homestead_Westerwal II INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
fD_TREMOR__ _
Haley Lewis Escrow Officer
Preparer of the Sales Disclosure Form Title
7321 Eagle Crest Blvd. Ste.A Foreman Watson Land Title, LLC
Address(Number and Street) Company
Evansville, IN 47715
E-mail
E SELLER(;S)/GR'A I7,0, S) . -...
Bryan Holzappel ,
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
76�' /✓ �Uv ,.5
Address�N�(Number d Street) �� ���� Address(Number and Street)
O A 6F
' 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 require y law, i repared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Sig re of Seller Signature of Seller
Bryan Hol7appel 04/22/2020
Printellyame nfSeller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
:_ SVP: (S)/GRANTE ,_ APPLICATION,W PWIVIY TAX MbCTIQN IDENTIFY,ALL ITEMS THAT APPLY _ __:, -
Robert D.Westerwal, II _ Samantha Westerwal
yance document Buyer 2-Name as appears on conveyance document
139 Riverview Drive 139 Riverview Drive
Address(Number and Street) Address(Number and Street) FL e .I
Henderson, KY 42420 Henderson, KY 42420
LL OF THOSE TH
YES NO CONDITION YES NO CONDITIONN
G ON COUNTY AUDITOR
❑✓ ❑ 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:
905 North US Highway 41 ❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Fort Branch, IN 42420 Gibson ❑ IZI 7.Geothermal Energy Heating/Cooling Device
City,StateZl Code County
❑ 2.Does the buyer have a homestead in Indiana to be El ❑✓ 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: ions for more information.
Not available in all counties.)
Address(Number and Street)
ab-1Gt---1 g -101-00,0 .ags--(52-6
City,State ZIP Code County '
Primary property owner contact name E-mail