Homestead_Waller -,,L! ,,,,,_,,,,,,,,.,L,-,:-:,-,,,:,1„,.;,..:2,;.,, , 0,,,-,,.,,,, .,3,;7„.;, .,:,-,,-:.-N,,,,:.,-::y.,-,.-:,:.,:-:-!-A.-. F,..,:: :.:,*,;,; ,-s-,,, ,i.::;,,,:,;•..:';-:.-. ,,,7.5, .:-;,T.;4-,,,,,,:,:::,„Ir -- ;*,.7,-:y;:. ---,,: -,7,:::::::-..:,-;,:: --.:;': „ .:!:
Preparer of the Sales Disclosure Form I Title
Sarah Mcpaniels Escrow Officer
Company 1
Address(number and street,city,state,country,and ZIP Code)
7412 Eagle Crest Blvd Evansville, IN 47715 • • .
Seller 1—Nine as it appears on conveyance document Seller 2—Name as appears on conveyance document
Mark A.Chamness Scott D.Chamness
Address(nuMber and street) Address(number and street)
1258 South County Road 700 West 1258 South County Road 700 West
City,state,and ZIP Code City,state,and ZIP Code
Rockport, IN 47635 Rockport, IN 47635
Country Country .
US US ,
;.:Foolireoliiiav400cowororion*spooncit,iotto93 644-5*A*617yli,hOiknOliiiiktilf.;003FiteiiiigtiOlJy.fAilifie*thOi':1:411iiicittiiiiifeii•W
teattOOtre-fir*:simiWciftalSifiekini6106iiiiittiiiiiireigiir6divifejpr40.ei;,6Oliimitilig4Ve` -falb T11,2"- -.4 . ,ii ,;,,:.,;,';.,-„:.: -.•,,,,-.
Zature-or7vy.
. ,
Printed Na oLli:r Date signed(mmIddlyyyy) Printed Name of Seller
Date signed(mmiddiyyyy)
Mark A. Chamness 08/07/2025 Scott D.Chamness 08/07/2025
BUYER(S)/GFANTEE(4....,? P , in ii. ; e :, *•'0 goy.oxpolu,otko,N05:00Enotoc:A tgEIHATt4APP LY--- -: r,' f::=•
Buyer 1—Name as it appears on con an e cum - Buyer 2.-Name as it appears on conveyance document
Katie Waller A. Nicholas Waller
Address(nuMber and street) Z Address(number and street)
720 S West St 27 0 S West St
City,state,and ZIP Code AUG 1 1 2025 " i" City,state,and ZIP Code
Oakland City,47660 e96—14—/Y44--000.,/lQ-Oakland City,47660
Country 027* Country
US (the-e.ked a. J4-446;12,1) US '
::,•-
YES NO I CONDITION . . YES NO CONDITION
1.Will this property be the buyer's primary Cl :0 3.Homestead
0 0 '
residence? 0 'CI 4.Solar Energy Heating or Cooling System
•
' -I 2.Does the buyer have a homestead to be vacated 0 10 5.Wind Power Device
0 7 _-for this residence?If yes,provide address: 0 CI 6.Hydroelectric Power Device
Address(nut1hber and street) 0 0 7.Geothermal Energy Heating or Cooling Device
City,State,ZiP code,and county
1 zC —13 -kko —o 0 0. vq-2,....034,
lkote_-0-orekoto-doy-g-ht.ro-**ro---otjijoRrkei:v-rki,6,,o..i.o,.o.00e*o.finxg-rowjojtvyd.4oA,jo,t,.:ttr,,gR,s.opt,,,,,.a..p.d.c„ompje...,t.g.:::
Asirqq.geowa*.:0oikpOpgrOdiniAcctirdapOpMithle!6,i11;5i5 ikipersoryilf4090iingly,fan:040tenli9Follrfaletfies,,t1Wvp1*91-...•;:,,,,.:,!i:_.
!;-
Page 3 of 5 -,44•