Homestead_Holzappel INDIANA SALES DISCLOSURE FORM SDF ID: . Page 2
Timothy Shea Processing Coordinator
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 . . Regional Title Services
Address(Number and Street} ---------._.......... ... .. _-.---- ::-....- -:-. .. Company ' - ----- .-... ._._. _ . . ----- ----.-- ... ...'
_ p
Evansville,IN 47715 (
,. '� �; �'��'� Rk.:, � a£%
Stephen L.Sollman Patricia A.Vayo-Sollman
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
6076 S 50 W 6076 S 50 W
Address(Number and Street) Address(Number and Street)
knowledge and belief,is true,correct
and co i •lete as re ,and is prepared in accordance with IC 6-1.1-5.5,"Real Property S les D' Iosure Act".
.. 1 by 41 Sew 4 ekw
Signatu, ofSeller Signature of Seller
Stephen L.Sollman 4//fi/11) Patricia A.Vayo-Sollman
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
/F $ :a-Mg-Warrk?EI TtedaQ gatiD1 I'I TA tail III IM , ENWI1 ftrgr Li 7 ilkHl— AI I�� ,
Thomas D.Holzappel Dawn Holzappel
Bu - sane document Buyer 2-Name as appears on conveyance document
A dreSS(Nun .n Stree) ' Address( mber a�t)
4
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. .''1 LEl)
YESC NO CONDITION7
IT NO CONDITION
El 1.Will this property be the buyer's primary ❑ 3.Homestead un 25 2020
residence? Provide complete address of primaryal
•
residence,including county: eating/Cool' ys
6076 S 50 W ❑ Ef 5.Wind Power Device GIBSON COUNTY AUDITOR CB
Address(Number and Street) ❑ LI 6.Hydroelectric Power Device
Fort Branch,IN 47648 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device
,State ZIP Code 0ty county ❑ (y'8.Is this property a residential rental property?
❑ 2.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 roperty via a-mai . ntact information
complete address of residence being vacated, below.Please see instructions for mo 'nformation.
Zncludig7 oui)ty� Not available in all counties.)
Ad r Num and Stret) Lit 26-18-12-400-002 .459-025
ifJ� , 92 as D.Holzappel Da e
City,State ZIP Code County Primary property owner contact name E-mail