Homestead_Stearns INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
;D PREPARER ti;76 :=3 r..z ,,,,,` *_ .:1:< > _a µ_ ` .3',-., ._-; 1 - .�.e . ` �
Timothy Shea Processing Coordinator
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number add Street) . . . - - -- ._.....__...._. -.--..--Company _. .. .. . .. . .. _ --_ --__ --. -
Evansville;IN 47715 (
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Matthew D.Hostettler ti
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
1002 S Main Street
Address(Number and Street) Address(Number and Street)
Fort Branch,IN 47648
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,and is p ared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act":
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Sign re of Seller Signature ofSeller
Matthew D.Hostettler
Printed Name of Seller Sign ate /D Y Printed Name of Seller Sign Date(MM/DIVYYYY)
PP- -+IM TEES)L AE E fCi4T ONisFilttl RQpERT_YTtlitki 1iatr IONSg litig&Ta VAEDIVEI4r[Sr..'IrIIA AII-MA"'.' '_ - -
Brittany Ste s Reese Steams
8 ame.s appears on conveyance document Buyer 2-Name as appears on conveyance document
4336 Stratford Road 4336 Stratford Road
Address(Number and Street) Address(Number and Street)
Evansville,IN 47711 Evansville,IN 47711
E-mail
'uR 1-5 2020
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT AP .
YES 0 CONDITION YES 0 CONDITION
❑ 1.Will this property be the buyer's primary y • 3.Homes -. • ' IBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ Q 4.Solar Energy Heating/Cooling System
residence,including county: ❑
1002 S Main St Q 5.Wind Power Device
Address(Number dStreet) ❑ Q 6.Hydroelectric Power Device
Fort B/AT
47648 Gibson ❑ Q eothermal Energy Heating/Cooling Device
City,sme c°a"ry ❑ 8.Is this property a residential rental property?
❑ Does the buyer have a homestead in Indiana to be ❑ Q 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide rovide contact information
complete address of residence being vacated, below.Please see instructio ore information.
including county: Not available in all counties.)
Address(Number and Street) -6-18-24-204-000. 194-026
City,State ZIP Code County Primary property owner contact name E-mail