Homestead_Rigsby INDIANA SALES DISCLOSURE FORM SDF ID: 2020 Page 2
D. PREPARER
Abbigail Moers C 5 thaw )"tc 4--
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)
Rodney Peek
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1904 S. Boulevard PI.
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
City,State,and ZIP Code City,State,and ZIP Code
E-mail Telephone Number E-mail
Under pen-Ities of perju I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct
and c• ple e as requ' -d •y law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
SPf
.1_1(
ature of :ler/ Signature of Seller
Rodney Pee 11/2/2020 11/2/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Si' 1 Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEM
Patrick Ian Rigsby •
Buyer 1-Name as appears on conveyance document Buyer 2-Name as app'ars on conveyan ,met,.
9949 S.Watertower Dr. '� `.‘:
Address(Number and Street) Address(Number and Streb., Oyj d +r.\L
Haubstadt, IN 47639 , G'/e 2� r
7. M
E-mail Telephone Number Giji�A k*: '' E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY AL k��HO. 'T APPLY.
YES/ NO CONDITION YES/ NO CONDITION °h.
9 ❑ 1. Will this property be the buyer's primary V ❑ 3. Homestead �4)
residence? Provide complete address of primary 0 p 4. Solar Energy Heating/Cooling System
residence, including county:
0 RI 5. Wind Power Device
1904 S Boulevard PI.
Address(Number and Street) 0 El 6. Hydroelectric Power Device •
,P lr nir nceton, IN 70 1 Gibson; ❑ 0 7. Geothermal Energy Heating/Cooling Device
City, State P Code County 0 El 8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be 0 El 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete 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)
c.(Q-Ia- I8- Qk-i - (')oa poi --Oa2
City,State ZIP Code County Primary property owner contact name E-mail
License/ID/Other Number