Homestead_Evans INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D PREPARER;n.__. _u.... ::--'- ...• i :' : . ,,._.. zY . , �. 7.70 . ".-.X :, - `. w '�... _ 2:--
Chris Sullivan 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 (
City,State,and ZIP Code Telephone Number E-mail
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Diana S.Specht
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
3114 Rene 3114 Rene
Address(Number and Street) Address(Number and Street)
Evansville,IN 47711 Evansville,IN 47711
mail 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 c tnplete as requ' edp*law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller Signature of Seller
Diana S.Specht Q• 3' L.
iPrinted Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
,iF;JBUYEIt(SY/GRANTEE(S)'. ADP LICATION FOR 'AtDEDUCTI:ONS.'IIiENfrriMAL`EI.TEMSTHATAPPOI - 4 2 x.. f:-
Isaac K.Evans Brittani A.Evans
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
405 S Cumberland Street 405 S Cumberland Street
Address(Number and Street) Address(Number and Street)
Fort Branch,IN 47648 Fort Branch,IN 47648
Telephone Number F I LED E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. Sep 04 2020
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary yr El 3.Homestead GIBBON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ El 4.Solar Energy Heating/Cooling System
residence,including county: ❑
913 Chickasaw Dr El 5.Wind Power Device
Address(Number and Street) ElEl 6.Hydroelectric Power Device
Fr Branch,IN 47648 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device
City,State El �` 8.Is this property a residential rental property?
IP Code County
❑ 2.Does the buyer have a homestead in Indiana to be El El 4.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(NumberandStreet) 2 6-19-18—101—001. 161-02 6
Isaac K.Evans Brittani A.Evans
City,State ZIP Code County Primary property owner contact name E-mail