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Homestead_Dixon
INDIANASALES DISCLOSURE FORM SDF ID: Page 2 D EKEPcARER_: ._ ,_ i, _. , .; t .. . , Tim Shea Closer Preparer of the Sales Disclosure Form Title 7820 Eagle Crest Blvd Ste 201 Regional Title Services Address(Number and Street) Company Evansville,IN 47715 ( ..a,_�,R.,. ..... ...,.....,e..,k*Z s ..,_., z,.,.,,. .,,,e.,. ..>..4ea. : ..,.+a.Vkfra gkaf...,_W2MO :S;ttS _= �._ v4. ._ M -tip Mtf,.�..` a..,,.*..u:q' Scott E.Anderson Laura L.Anderson Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document 14941 Old State Road 14941 Old State Road Address(Number and Street) Address(Number and Street) Evansville,IN 47725 Evansville,IN 47725 State,andliP code E-mail Unde enalties of p rjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and omplet as re uired by law,and is prepared in accordance with�/�� 6-1.1-5.5," al roperty Sales Disclosure Act". 1 �� Sign tureofSeller / Signature of Seller j co E.Anderson �/3o �©� Laura L.Anderson (( 7 f zQ OZQAJ anted Name of Seller Sign Date(M /DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY) F BUY.E=R(S47G12ANTEE(51=.AP<.PLTCATIBN FOR`PROPERTakXDEbUCT10NSfKIbfiNTIFYAtffITEMS THI rAPPLY "` r '-n`Z .£ David N.Dixon Karen A.Dixon Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 105 S.Main St.Apt.8 105 S.Main St.Apt. 8 Address(Number and Street) Address(Number and Street) Fort Branch,IN 47648 2020 YES NO CONDITION YES NO CONDITION ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead GIBSON COUNTY AUDITOR CB residence? Provide complete address of primary ❑ Q 4.Solar Energy Heating/Cooling System residence,including county: ❑ Q 5.Wind Power Device 8045 S Victoria Dr Address(Number dStreet) ❑ Q 6. ydroelectric Power Device Fort Branc ,1N 47648 Gibson ❑ Q .Geothermal Energy Heating/Cooling Device clti State Zi code County ❑ 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 property via e-mail?(Provide contact information complete address of residence being vacated, below.Please see instructions for more information. including county: Not available in all counties.) Address(Number and Street) 26-18-24-101-000. 2 77-02 5 David N.Dixon Karen A.Dixon City,State ZIP Code County Primary property owner contact name E-mail