HomeMy WebLinkAboutHomestead_West INDIANA SALES DISCLOSURE FORM SDF ID: 2020 _ Page 2
D. PREPARER
•
Amy Pollard Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (
mail
E. SELLER(S)/GRANTOR(S)
Susan Woods
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
7932 W. SR 165
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665
City,State,and ZIP Code City,State,and ZIP Code
(
E-mail Telephone Number E-mail
der penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct
a co plete as required by law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
ScArv\ vJ 3 O€f-
Signature of Seller Signature of Seller
Susan Woods r,!` Q()
property via-email? (Provide contact information
address of residence being vacated, including county: below Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
a --( 9-14-(of- boo. 76 3--todto
City,State ZIP Code County Primary property owner contact name E-mail
License/ID/Other Number