Homestead_PapaleINDIANA SALES DISCLOSURE FORAf SDF ID: pa e 2
;.D: PREf ARER:%t'.�`<<?t.. � � ✓°. . ... � `:-•=. 3!�.i` .=:.� �:. . � �';..:-i,i e .£-,.'.:� ...... .',,.-.";� �:._. Ktix.�w Y _=r� , �;r. �..-- r :r-� -. --
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Laura Rininqer Closinq Coordinator
Prepartr of the Sales DBdosum farm 7ide
7820 Eaale Gest Bivd Ste 207 _ Reqional TiUe Services LLC
Addrcss(NumMandSVrei) Lo.npony
. Evansville. IN 47715
E-mail
Ei SELLER S /GRANTOR S � .` � r;:> . �;i..y .- . .� '"t: . : a , - ;, f : _ � " ° -
Chris A. Pohi Paidcia M Pohl
SeRer J- Namr as appmrs on ronvewncedacumen[ Sellrr 2- Name as oppears on rom•eyance duvmer.t
1 RR W 975 S 188 W 975 S
Addrees(NumberanCSVee[J Addrts(NumberandSuett)
Haubsiadt. IN 47639 Haubstadt. IN 47639
Ciry. Srure. and7lP fode Gip�. Smte, and ZIP (ode
Email
Under penalties of perjury, t hereby certify that this Sales Disclosure, to [he best of my Imowledge and belief, is true, correct
and complete as required by law, and is prepared in accordance wi[h( �C 6-1.1-5.5, "Real Proper[y Sales Disclosure Act".
/ /1/� '!�v'l..Y —YCl�uuu, --1� �-I�D-G�.l
�Signaare ofSMler Signomm o(Seller
Chris A. Pohl 02I75l2013 Patricia M. Pohl 02N SY2013
R1nt¢d6ameo(Se(!er Si nDetefNH/OD YI Rin4dA'ameo Sellu SianDa4fHV/ODRTYt
�FrBUYER TEE S;=APELICATION FOR PROPERTYTr1X DEDUCfIONS' IDENTIFY ALC ITEMSTHATAPPLY:_ '.<
Joshua C. Pa ale Sr.
y¢r - ameasappearsonconveyancedocvment Buyer2-Nameasappearsonconvryancedocumen[
144 S. Maole
Addrt.ss (Nvmber ar.d Svre[) Address (Number and Snee[)
Waveriv KY 42462
Clry, Smu, and ZIP Code Lin�, Sma, and Z!P Lade
E�muil Tdc honcNum6er E-moil
TNE SALFS DISCIASURE FORM MAY BE USED TO MPLY FOR CERTAIN DEDURIONS FOR THIS PROPERTY. IDE�TIFY ALL OF iHOSE THAT APPLY.
YES NO COtiD1T104 I 1'ES ON
�✓ � 1.lNill this property be [he buyer's primary ✓ � 3. Homestea
residence? Pro��de complete address of primary � 4. Solar Energy Heatlng/Cooling System
residence, including county:
30R N Main St ❑ ❑✓ S. Wind Power Device
Addrrs(Nvmberand5trert) ❑ Q 6. Hydroelec[ric Power Device
FL Branch. IN 47648 Gibson � Q 7. Geothermal Energy Heating/Cooling Device
Ciry.SrnreZlP!'ade Counry
� Q 2. Does the buyer have a homestead in Indiana [o be � `�❑ $� Is this property a residentiai rental property?
vacated for this residence? If yes, provide ❑ ✓❑ 9. Would you like to receive tar statemen[s for this
complete address of residence being vara[ed, property via e-mail? (Provide contact informotion
including county: be(ow. P(ease see instrucdons for more informadon.
No[ available in aI( coun[tu.J
Addres(Num6erand5vee[) O • DOQ.
�(o�/�-�3-�! z r)S�-oa�
Ciq�.Sm¢7lPCode Caunry-
Pn'map• properry oumer conma name E-mail
Under penalties of perjury, 1 herebp cerUfy that this Sales Disclosure, to [he best o( my Imowledge and belief, is true, correct
and complete as re ired by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse informa ' So 1 Secu �ty Drivet's License/Other numbers are not necessary if no Homestead Deduction is
being filed.) C%', ���
Signamre Buverl SignaareafBuyer2/Spouse
Jochna C P�� Sr 02715I2013
LastSdigi[sofBuyer?/SpouseDrnver's Smu Las[SDigiCSOfSocialSecuriN
Lecense/!D/OtherNumber Num6er Gcense/1D/OffierNum6er
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