Homestead_Thorbecke (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
;D PREPARER __. .._ -- R-,__. .__ _.. ,7 _ .--- __ -_._ __ - . ..._.:_,_. _ _
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
Evansville,IN 47715 (
Michael L.Montgomery
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
3427 S.275 E.
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670
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 pQ�Qn ere a e�ql i�fd b law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature ofSeller ��� ^,�f+�� Signature ofSeller
Michael L.Montgomery 1 f�
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
;F ,BUYER(S1/GRANTEE(S' APPLICATION'FORP tOPERTWTAX DEDUCTIONS-IDENTIR4YuAL*L=ITEMS TIHAT:APPLY.- .
Lucas J.Thorbecke
{ry e>P1,-5am a�al gam Qn cgnveyance document Buyer 2-Name o�ti"Dears on rnnveyance document
\dr51ess'l(Numberan Stre �� �O Address(Numlh+ran)-Strret) 1 A
rmcefi�
mail Telephone Number E mall
Oct 14 2020
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. /)�
YES NO CONDITION YES NO CONDITION)Z JT��+•w■
❑ 1.Will this property be the buyer's primary ti ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑ Q 5.Wind Power Device
3427 S.275 E.
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device
Princeton,IN 47670 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device
ClStote ZIP Code county ❑ X 8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ El 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°��j of residence being vacated, below.Please see instructions for more information.
W010 t�nluu VV nty:
Not available in all counties.)
7-027
A res Num6erandStreet) 7��-��/)V r 1 2Lucas J.
Thorbecke
Ashlee
rru c tree , ,N Lila C Lucas Thorbecke Thorbecke
City,State ZIP Code 1 V, l County Primary property owner contact name E-mail
Number License/ID/Other Number