Homestead_Helsley INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Karen S.Creek Closing Agent
Preparer of the Sales Disclosure Form Title
501 Main Street, Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville,IN 47708 812-421-4000 karen.creek @ieffbosse.com
City,State and ZIP Code Telephone Number E-mail
Joyce A French Helsley Jeffery L Helsley
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1873 S 1900E 1873 S 1200 E
Address(Number and Street) Address(Number and Street)
Oakland City IN 47660 Oakland City IN 47660 -
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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i•na l-ofSeller .f D, T� Signal, Ill.-i' . / /
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Printed h7me (Seller Sian Date DIN DD/YYn'1 Printed Name of Seller Sign Date(MM/DD/YYY17
F,BUYER(S)/GRANTEE(S) APPLICATION FOR PROPERT TAXDEDUCTIONS IDENTIFWA CITEMSZHAT APPLY 7- _-. .
Joyce A. Helslev Jeffery L.Helsley
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1873 S. 1200E 1873 S 1200 E
Address(Number and Street) Address(Number and Street)
Oakland City IN 47660 Oakland City IN 47660
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
LI
0 ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestea
residence? Provide complete address of primary ❑ ❑ 4.Solar Ene H m
residence,including county:
/fT3 .S /,J.00 t ❑ ❑ 5.Wind Power D -
' SQL r�- �CQ14
Address(Number and Stree ❑ 6.Hydroelectric a ev
�/}R q,U Q C. t TV .L /J 47/,c- C i�SIO,N ❑ 0 7.Geothermal E gy Heatin oolina Device
City.State ZIPCode County
❑ Q 8.Is this prope ental property?
❑ Q 2.Does the buyer have a homestead in Indiana to be (-
vacated for this residence? If yes,provide ❑ V i 9.WouIPPOSIWel treQMNiArtSi.tll&®ants 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(Number and Street)
a 6- 1y-I9 -loo-bOO- 303
City,State ZIP Code County
Primary property owner contact name E-mail
V LYDIANA SALES DISCLOSURE FORM
!7
SDF ID
SDO m 465037
Page ?#A
D. PREPARER -
Sanlantha Cutsinger
Prepawrafthe Scles Dactosvre Form Title
226 W. Broadway Broadway Title, Inc.
Addrm'(Numberarrd Sleet)
E: SELLERS GRANTOR $ - `r::r:: r. .:. 3.,. .. ^ :ti., «c :..'isj err. rYSa k
Terrell W Cox
Seller 1 Name as appear on ,anvryvme document S
Seller I - Name as apprvrson mnveyvnce document
1873 S 1200 E
Addrm (Number and Suter) A
Address (Number and Street)
Oakland City, IN 47660 -
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Ciy, State, and ZIP Cade
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