Homestead_Moore (2) INDIANA SALES_DISCLOSURE FORM SDF ID: Page 2
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Chris Sullivan Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle-Crest-Blvd-Ste 201 Regional Title Services
Address(Number and Street)
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Fred A.Malotte Rebecca L.Malotte
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
12792 S Scottsdale Dr 12792 S Scottsdale Dr
Address(Number and Street) Address(Number and Street)
Haubstadt,IN 47639 Haubstadt,IN 47639
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 m�as�quir�law and is prepared in accordance with�C� �," eat �ro erty Sales Di closure Act".
Signature of Seller ‘4,(Q Signature of Seller
Fred A.Malotte IV 7,1 Rebecca L.Malotte 9L/.ZZ�4.1
Printed Name ofSeller n Dat (MM/DD/YYYY) Printed Name of Seller Sign 97ate(MA9/DD/YYYY)
g i11'ERGs1F/-GRAtI tf51=''APPLICAifitil RORI;RROPER'IY'IeA l ADYTC-LIONS'giIDENTI0dintizE1vISillitdI'hilg Y M4VMS '
Gregory S.Moore Erin M.Moore
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document -
4000 Eagle Watch Dr 4000 Eagle Watch Dr
Address(Number and Street) Address(Number and Street)
Evansville,IN 47725 Evansville,IN 47725
State,and P ode
Telephone Number E-mail Telephone Number FILED E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. Sep 23 201u
YES NO CONDITION YES NO CONDITION
❑ 1.Will this property be the buyer's primary '6 ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary .] 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
12792 S Scottsdale Dr I
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device
Haubstadt,IN 47639 Gibson ❑ I� 7.Geothermal Energy Heating/Cooling Device
scats IP Code y county ❑ 8.Is this property a residential rental property?
2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide ❑ 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information •
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(NumberandStreet) 26-22-14-300-000. 050-024
Gregory S.Moore Erin M.Moore
city,State ZIP Code County Primary property owner contact name E-mail