Homestead_ArburnI
INDIANA SALES DISCLOSURE FORM SDF ID: Passe 2
D. PREPARER
Jerry D. SNwell Attorney at Law
Pregarerof the Sales Disclosure Form Tide
302 N. Prince Street Bamberger, Foreman, Oswald 8 Hahn, LLP
Address (Number and Street) Company
Princeton, IN 47670
Ciry; State, and ZIP Cade Telephone Number Email
E. SELLERS GRANTOR S
Jill S. Lindenmuth
Seller I - Name as appears on conveyance document
Seller 2 - Name as appears on conveyance document
12821 Sandersan Drive
Address (Number and Sheet)
Address (Number ad Street)
Evansville, IN 47725
City, State, and ZIP Code
City, State, and ZIP Code
(
Telephone Number Email
I Tele hone A'umber 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 59mplete as required by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
SlgnatuM,gSeller Signature of Seller
JILL S. LINDENMU . I 1 - I
Prince ea Seller Sian Dow rMM /DD Printed Name o Seller Sian Dare MM /wi
YER S GRANTEE - APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL ITEMS THAT APPLY
Marilyn Sue Arbum
Buyerr"Name as ors an conveyance document
Buyer 2- Name as appears on conveyance document
WO Highland Avenue
Address (Number and Street)
Address (Number and Street)
Oakland City, IN 47660
Telephone Number Email
Telephone Number Email
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
❑✓ ❑ 1. Will this property be the buyer's primary
Q ❑ 3. Homestead
residence? Provide complete address of primary
❑ ❑✓ 4. Solar Energy Heating /Cooling System
y, residence, includin county:
4V
❑ ❑� S. Wind Power Device
6 14 1 A a, de h I 2
❑ ❑✓ 6. Hydroelectric Power Device
drea�ambaraa tre n
%(o1 D (a / 8.5 o,v
❑ Q 7, Geothermal Energy Heating /Cooling Device
❑ ❑./ B. Is this property a residential rental property?
C .State ZIP Code I Lanny
❑ 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
❑ ❑,/ 9. Would you like to receive tax statements for this
complete address of residence being vacated,
property via e-mail? (Provide contact information
including County:
below. Please see instructions for more information.
�/ j �' C. /{, 4755'
Not available in all counties.)
Address (Num er and Street
Ciry, State ZIP lode County
Pn'maryproperry owner contact name f -mail
Under penalties of perjury, 1 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 ". (Note:
Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is
being filed.)
Signamre of Byerl Signature of Bayer2 /Spouse
MARILYN SUE ARBURN
Last 5 digits of Buyer l Driver's State Last 5 Digits of Social Security Number Last Sdigits ofBuyer2 1Spouse Driver's State Last 5 Digits of5ocial Security
License /ID10ther Number Number License /ID /Other Number