Homestead_Masters (2)INDIi',tSA SALES DISCLOSURE F�h Renee ��n Page 2
D. PREPARER CIOSIi� A ent
�Z � �r � /,
Preparero he Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Titie
Address (Number and Street) Company
Evansville, Indiana 47713 (
E-mail
E. SELLER(S) / GRANTOR(S)
Urval R. Hardiman Dollie B. Hardiman
Seller 1- Name as appears on conveyance document eller 2- Name as appe s on conveyance document
'U.S�x�.� '(Z � C�.51�1—a.t�t�r...+� � � L�
Address (Number and Street) Addr s(N mber and et)
. � N'��a q�� vl. 'Z o S 1✓`2 2 S— 1�.J � N �<�f�� �, dyf/ � 7/���
City, State, and ZIP Code �y, State, and ZIP o e
s�-�
E-mail Telephone Number 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 complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Prope y Sales Disclosure AcY'.
� ,
.
���,Q, '�l �1 c��z�.1.]w._nr�
Signature o( Seller Signature of Seller
Urval R. Hardiman Dollie B. Hardiman
Printed Name of Seller Sign Date (MM/DD/YYYY) Printed Name of Seller Sign Date (MM1DD/YYYY)
'°` F. BUY�R(5)IGRANTEE(S) - APPLICATION FOR PROPEF2TY TAX'DEDUCTIOMS - IDENTIFY ALL ITEIVIS THAT'APPLY:- ,:#
Richard L. Masters Brenda K. Masters
Buyer 1- Name as appears on conveyance document Buyer 2- Name as appears on conveyance document
205 W. 225 N 205 W 225 N
Address (Number and Street) Address (Number and Street)
Princeton, IN 47670 Princeton, IN 47670
City, State, and ZIP Code City,
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION O CONDITION
1� ❑�: Will this property be the buyer's primary � ❑°�' Homestead
residence? Provide complete address of primary . Solar Energy Heating/Cooling System
residence, including county:
❑ 0 5. Wind Power Device
205 W 225 N
Address (Number and Street) ❑ t� 6. Hydroelectric Power Device
:Princeton, IN 47670 Gibson, � 0 �• Geothermal Energy Heating/Cooling Device
City, State z�P Code County ❑ 0 8. Is this property a residential rental property?
� �� Does the buyer have a homestead in Indiana to be � 0 9� Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
//,� �Q�'i,,DG<< �r Not available in all counties.)
� dA dress (Number and Street) a�— � S��f `� i�' ���/—� a pZ
�"�i��, s �i'�le �il� y7�/.z. ,��5� / r v ��
;City, State ZIP Code t Count ' Primary property owner contact name 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
complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure AcY'. (Note: Spouse
information So 'al Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is being filed.)
' __ ,����/ ������
Signature Buyer 1 Signature of Buyer 2/Spouse
Richard L. Masters /� �� /2 Brenda K. Masters l��a� Ja-
Print Legal Name of Buyer 1 ign Date (MM/DD/YYYY) " Print Legal Name of Buyer 2/Spouse Sign Date (MM/DD/YYYYJ
��
�