Homestead_Ritchie%
INDIANA SALES DISCLOSURE FORPf
CHRISTOPHER E. CARL SETTLEMENT AGENT
Prepo�rl ofthe Sala OBdnrure Form Titfe
EXPERT TITLE SERVICES
CHARI ES T. FINNERTY
Sefl<r I- Name as appanrs on conveyon<e doavmen�
��o E, != ,:�e„Aa..,t�
Address (NUmbe� and Street) - / 1
N� ab��e —�/JV �'/7�o./Cj
certify [hat [his Sales Disclosure, to [he best of my knowledge and belief, is true, correct
d is prepared in accordance wit}f/C 6-1.�,;5.5, "Real Property Sales Disclosure Ac[".
THE SALFS DISCLOSURE F02M MAY BE USED T0.IPPLY FOR CHRT.IIA DEUURIOYS
Q✓ ❑ 1. Will this property be the buyer's primary
residence? Provide complete address of primary
residence, including county:
Sn8 n T I NHOW R AN
Address (A'umberand Street)
HAUBSTADT.INDIANA47639-8036 GIBSON
Ciry,SmteZlP e Counry
� 2. Does the buyer have a homestead in Indiana to be
vacated for [his residence? If yes, provide
complete address of residence being vacated,
including county:
6177 PETERSBURG ROAD
Addras(NumberondSVeeQ
EVANSVILLE, INDIANA 47717 VAND.
[iry. Smte z/P [ode Counry
Bvyer Z� Name as appears an canveyonre dxvmen[
Address (A'umber and Street)
Ciry, Smte, and ZIPGode
APPLY.
❑✓ ❑ 3. Homestead
ea[ing/Cooling System
� S. Wind Power Device
� d Hydroelectric Power Device
❑ �. Geothermal Energy Heatlng/Cooling Device
� �. Is [his property a residential rental property?
❑ � Would you like to receive tax s[a[emen[s for [his
property via e-mail? (Provide contact information
below. P(ease see instructions for more information.
Not availa6le in all counties.)
o?� -�4- 3a-.�o� �a�3 . �d( -Oa �i
BENJAMIN E. RITCHIE
Pnmary0ro0erryownermnma[nome E-maii
Under penalties of perjury, 1 hereby certify [ha[ this Sales Disclosure, to the best of my knowledge and belief, is true, corred
and comple[e as required by law, and is prepared in accordance wi[h IC 6-1.1-S.S, "Real Proper[y Sales Disclosure Ac[". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homes[ead Deduc[ion is
being d.)
�4jgnar Buyerl S{qnaN�eo(6uyer2/Spouse
r .n it _ /r —. _.a
Printed Legol Name a(Buyer 2/Spouse
5(qn Dat[ (MH/DD/YYYYJ
LastSdigitso%Buyer7/SpouseDnver's S[a[e Las[SDigitsofSaialSecunry
Num6er License/lD/OfherNum6er