HomeMy WebLinkAboutHomestead_FowlerI,�DIA\ASALESDISCLOSUREFOR�i SDFID SDOID 88�4�2 Page2
::D.-PREPARER� - -`_ __ _ .:-. , - s° -__� ... ._.. ., __,
�STEVEN W. AULBACH �
PreyarerojrheSclesOiulasure Farm Title
1046 WEST KNABLE ROAD
Addren (Numberand5veetJ
E-rtwil
�-EcSE�LERS'.GRANTORS r:-' _��:__ `_ � _-,�� -r- •.'" --= i�.!f �.'`�:"'�.,�
STEVEN W.AULBACH
Selln ]- Name m apprars an oonveynece doavment Se11er7 - Nvme os apprars on ronvnance darrment
1046 WEST KNABLE ROAD
Addrm(Non.bervnd5veerJ ACdres(KUmbe�and5vert)
GEORGETOVJN, �N 47122-
E-rnall Tde haneNum6er Email
Under penalties of perjury, 1 hereby certify hat this Sales Disclosure, to Che best of my knowledge and belief, is we, correct
and complete w•e by la� � epared in accordance �vith IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
�
Sign ureo/ ! Sgnaa.reo(SrJler
S i1ll '• �'/� 5ay/�-
�.
F:BUYERS GRANTEES -.APPLICATIONFORPROPERTYTAX'DEDUCTIONS--IDENTIFYALLITEMSITHATAPPIiY . � � -
TERRYALLEN FOWLER
Bvyer 1- Nome m appenrs on ronveyvnadocument Buyer 2- Name as appevrson rnnrevanre docvment
2347 E. MICHIGAN 5T.
Address(A'umberandSVee[J Ad1r¢s(Numberand5trcrt)
EVANSVILLE, IN 47711-
E-mvil Td IroneNVmba E-mofl
THE SALFS DISCLOSURE FOftM MAY BE USED TO APPLY FOR CERT.UN OEDORIONS FOR THIS PROPERiY. IDEMIF1' ALL OF TNOSE TNAT APPLY.
YES NO CONDRION YFS NO CO\OITIOY
�X � t. Will [his property be the buyer's primary Q � 3. Homestead
residence? Provide romplete address of primary � � 4. Solar Energy Hea[ing/Cooling Sys[em
residence, including county: ❑ �
8827 S. S.R. 57 5. �Vind Power Device
Addrcv�NUm6�randSUer[J ❑ Q 6. Hydroelectric Power Device
ELBERFIELD, IN a7673 GIBSON � � 7. Geothermat Energy Headng/Cooling Device
Ciry. Stute ZIPCOde Counry
�� 2. Does [he buyer have a homesiead in Indiana to be � Q 8� �s this property a residenrial rental property?
vacated for this residence? If yes, provide ❑ ould you like m receive tax sta[ements for this
compleie address of residence being vacated, property via e-mail? (Provide contact informatlon
including counry: elow. Piease see instructlons far mare in(orma[ion.
Not availa6le in all counties)
Addrm (Numbn and STCe[)
Z�-a0 - Z S' -/oO voo 30 / cn f
tiry. Smre ZIPCode Caunry
Pnmorypmperrywnermr.ruttnume E-mail
Under penal[ies of perjury, I hereby cer[ify that this Sales Disclosure, to the bes[ o(my knowledge and 6elief, is We, correct
and complete as required by law, and is prepared in accordance with IC 6-11-5.5,'Real Property Sales Disdosure Acc". (Note:
Spouse information, Social Security and Driver's License/Other numbers are no[ necessary i(no Homestead Deducdon is
bei filed.) .
'S{q�' . Signamreo(BVyer1/Spovm
/ l r �
`
lastidigicsa(Bu}•er2/SpouseDnrer's Smre Last50i�i[sa(Sociaf5ecurity
Lrtense/ID/O[henYumber Num6er Liceue/ID/OtherNumber
r