Homestead_Johnson1 P
INDIANA,CALES DISCLOSURE FORM SDF ID: Page 2
b.?.REPARER
Dan L. Reeves Attorney
Preparer of the Sales Disclosure Form Title '
16 S. Main St.
V4ess (Number and Street) Company
nnceton, IN 47670
E -mail
E. SELLERS GRANTORS
" AARON ENTERPRISES. INC.
Seller I - Name as appears on conveyance document
5101 kLFITZ RD
Seger 2 - Name as appears on conveyance document
Address (Number and Street)
EVANSVILLF IN 47720
Address (Number and Street)
City, Sate, and ZIP Code
City, State, and ZIP Code
Email
I Telephone Number E -mail
Under penalties of perl . ury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complet�a�' y law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ".
77/- �
Signatur of Seller i Signature of Seller
Panted o Seller Sin ate HM Printed Name o Seller Stan Date MM DD
F: ER S GRANTEE S ' -'A LICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT -APPLY '
NDA L. JOHNSON
B 'rl -Name as appears on conveyance turner
Buyer 2 - Name as appears on conveyance document
6
Address (Number and Street)
Address (Number and Street)
UBSTADT IN 47639
State, and ZIP Code
City, State, and ZIP Code
E -mail
Telephone Number E -mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TH IS P FY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
✓❑ ❑ 1. Will this property be the buyer's primary
❑✓ ❑ 3. Homestead
residence? Provide complete address of primary
. Solar E eating /Cooling System
residence, including county:
❑ ❑✓ S. Wind Power Device
❑ ❑✓ 6. Hydroelectric Power Device
Address (Number and Sweet)
❑ [Z] 7. Geothermal Energy Heating /Cooling Device
❑ [Z] 8. Is this property a residential rental property?
City State ZIP Code County
❑ ❑ 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 instructionsfor more information.
Not available in all counties.) @ p
O D
Address (Numberand5weet)
City, State ZIP Code County
Primary property owner contact name Email
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 ". (Note:
Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is
being filed
N
Last 5 digits of Buyer l driver's State Last 5 Digits of Social Security Number
License/ID/Other Number
Signature of Buyer2 /Spouse
Printed Legal Name of Buyer Z /Spouse
Sign Date (MM/DD/YYYl)
Last S digits of Buyer 2 1Spouse Driver's State Last 5 Digits of Social Security
Number License /ID /Other Number