Homestead_DevasierINDIANA SALFS DISCLOSURE FORM SDF ID: Pa e 2
iD:�PREPARER'i .m�"�. - �-:, _.� �i �.�..� .Y'f'�" ,r �`:•a.� `.Z z� `a � =pzi�. � n �..:.��.,�.0 -.-��`-��+. i `s�. � R - .. � ,�� :
Christovher E. Carl Attomev at Law
PrepvreroJrheSalgDisclasureForm Ttle
101 Plaza Easi Bivd.. Suite 102 True Title Service. LLC
Addrecs(NUmberanAStrettJ Company
Evansville. Indiana 47715 (
E-mail
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>E[SE�IiER 5 GRANTOR S r_�_ ._ :: E-,-,_'< �� ' � -
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_.1� D. Smtt. Sr. Bar6ara J. Scott
Sel er 1- Name as appmrs an romeyanre da ument Seller 2- Name as appmrs on ronveva ce documen[
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Addras(NumberandStreet) Addres(NumberondStreeQ
L(�u15 v� 1�� ,� ���-S I.,ou:S�: 1�< �.0 ti1Ua.�l�
E-mail
Under penalties of perjury, I hereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and complete as required by law, and is prepared io accordance wi[h IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
Signamreo(Seller / Sjgnamreof5eller
J� D. Scott. Sr. � / l• 12l i 1/?01? Bart�ara J. Scott 19/ L� /2012
PnnredNameo Seiler SianDa[e(sa D Pnh[edNomeo Seller SaODOt¢(MM/OD
. _ _ _ ' _ _ _ .. �._ .. . ,
F:BUXER S .GRANTEE S _�*APPCICATION!F.OR`PROP.ERTY;TAX!DEDUCTIONS-'IDENTIFYALLI'[EMS;THATAPP.LY,_ � _-�`:;
Samantha J. Devasier
Buyer 1- Nome as appmrs am m�veyvnce docvm�nt Buya 2- Name as appmrs on ronveyantedocvment
258� E. Too Hat Road
Addr� (Number ond SveeQ Addres (NUm6e� and Sveet)
Princeton Indiana 47670
Ciry, Smte, and7JP Code City, Sm[e and7JPCode
Tele haneNumber E-mail Tele honeNUm6er E-mail
THE SALES DISCLOSUHE FORM MAY BH USED TO APPLY FOR CERTAIN DEDUCfI0N5 FOR TNIS PROPERTY. IDENTIFY ALL OF THOSE TNAT APPLY.
YFS NO LONDITION YES NO COti01T10N
�✓ � i. Will this property be the buyer's primary Q � 3. Homes[ead
residence? Provide complete address of primary � � 4. Solar Energy Heaung/Cooling System
residence, including county: � 5. Wind Power Device
a�83 � 7oP HAr �oan
MUdres(NumberandSVeeQ /� rtt ❑ 6. Hydroelectric Power Device
�"�''���k T� ����� `�-�-u�� ❑ � 7.GeothermalEnergyHeating/CoolingDevice
lity, Stale7JP Code Launry
� �' 2. Does [he buyer have. a homestead in Indiana to be � � $� �s this property a residential rental property?
vacated for this residence? If yes, provide ❑ � 9. Would you like [o receive tar statements for this
complete address of residence being vaca[ed, property via e-mail? (Provide ron[act informa[ion
including county: 6elow. Please see instrucdonsfor more informadon.
582 W. Glendale Street No[ availoble in all counties.)
Addras (Number ond Sbee[J �1 [
Princeton, Indiana 47670 a�n— ��1" 1J ' � �� �� �. a�9 - oa�1
City. SmteZlPCode Lounty
Pn'marv properTy owner ronmc[ name Email
Under penalties of perjury, I hereby certify [hat this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and comple[e as required by law, and is prepared in accordance with IC 6-1.1-S.S, "Real Property Sales Disclosure Act". (Note:
Sp se information, Social Securiry and Drivers License/Other numbers are not necessary if no Homestead Deduction is
be� filed.) � ,
\ �� �, . � Q,���
S{gnamre o(BUyol Signamre of Buver2/Spouse
Samantha .l flavasiPr 19l /9019
Rinredl.�alNameofBvyerl
LartSdigiGSOfBuyerl0river's State Las[SDigitso(SocialSecuntyNum6er LastSdigicsofBuyer2/SpouseDriver's Smte LastiDigicso%Social5ecurity
Lirense/ID/OtherNum6er Number Lirense/ID/OfherNum6er