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Homestead_Sisk (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 i LANA C.HARPER CLOSER.. . ' Prepare..of the Sitles,Disclbsure Forin Title 5231 Oak Grove Rd.,Ste.A TOTAL TITLE'SERVICES, LLC Address(Number and Street) Company .EVANSVILLE,IN 47715 E-mail E,:SELI EglaTi 04100. SS;j fir" . ',_ : 1' 4Z! .�211;eliggIV re� N . ;F�. kt ` .. H,a.," , Jason R.Flrod Amanda Elrod SelllerI--lNaattne.sappearsonconveyance-document///� ,.,// Seller 2.-Ndmeasappearsonconveyancedocument 13 7f 16rovOnrGt� 1Q.c A • A Address(Number and'S eet) Address(Numberlig I I (/� VC S Vi' - , I t/77 5 E-mail Telephone Number E-mail: Under penalties..of perjury,I hereby certify that this SalesDisclosure,to the best of my knowledge and belief,is true,correct and . plete as required bylaw,arid is prepared in accordance:wi- IC 6-1.1-5.5,"Real' roperty'Sales Disclosure Act". l _ . S(gna 'reAefler Signatureo Seller / �y l Ja •. /.Elrod (P l0 � Amanda Elrod (O./1U! . Printed Name of Seller,__ -._.. ____. Sign ate;(MM/DD/YY3Y)_.._. Punted Name ofSefler_._._... _._ mph Date(MM/DO/Yr/F) "" E; 14:MOT9Mit Eaf'S Pffra OTSM A im[tt}PEit`11'M I IICIa QW511181 LF I:L LT' 3 S THR1'AMMW ,eamel7R 81i1 r Jan(ce F.Sisk Buyer1'=Namearappe'ar o conve ument � uyer2-Name asapp rso conveyance.d nt :i(/,. m__ ,a Addr s NuniberandS eet) Address,(Numbera" nd tr et), ,,nce n l 1 (l 7Ce �D FOR THIS PROPS TY."IDENTIFY"ALL.OF THOSE THATAPP''y'�'A�\ YES' NO CONDITION . YES NO CONDITION.. . . _..... a.J El 1.Will this ro e. be the buer's primary h P p rty- Y p y �0--- :h 3omestead---- ---, ' residence? Provide complete address of primary 4.Solar En ti Cooli ystem jam, re Id nce ' sk con .J�/� `,, (7,5—q W' elm ftj/ ri 0 © .$ Win'.'•i r 1..,' c /.31 e. Ad a ovumberaudStre ❑ 0 6 Hydroel Tic Po vlce 4\ .Q� �1P V I ��`Q, ���(� ❑ z 7,Geothermal Ene l-eating!.`fc1,. vice City,State ZIP Code County i'liY . /.. ❑ ❑✓ 8.Is:this property are •4 e cl. : 'teal property? ❑ ❑ 2.Does the buyer have a,homestead in Indiana to be, k vacated for this residence? Ifyes,:provide ❑ 0 9.Would you like:tor ?', xJstatements for this complete address:of residence being vacated, property via e-mail? 4 4..vide contact information inducting:county: below,Pase;see cons for more information Not,available in.a l counties.) Addr ess(Number'andStreej _ _------ — City,Stair-ZIP Code .County l�ri.-i 1- - .r..00-% �5-/--�I .Primary property owner contact name _ E-mail )0"131141-1 GIBSON COUNTY ALii� R