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INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER. ,
Chris Ferguson Closing Agent
Preparer of the Sales Disclosure Form Tide
501 Main St. Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville,IN 47708 812-421-4000
City,State.and ZIP Code Telephone Number E-mail
E:SELLERS)/GRANTOR(S)_ - - t R_: -- _. . ds . . x s t:'.::.
Kyle B Boyd Rochelle L Boyd
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
,OS ,Lasf Si- -- - - /0J Eas _771-ce.t
Address(Number and Street) Address(Number and Street)
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'-F11.1--55..5,n,"Real Property SS'(/y1 es Disclosure Act".
Sign aotrea /lerd (/ - - Slgn+a(Ser (M
Kyle B Boyd 03/05/2013 Rochelle L Boyd 03/05/2013
Printed Name of Seller Sign Date(MM/DDAITY) Printed Name ofSeller Sion Date(HM/aaarm
F.BUYER(S)/GRANTEE(S}=APPLICATION FOR PROPERTY TAX-DEDUCTIONS=IDENTIFY'ALL ITEMS.THAT%APPLY:` _
/.Jacqueline Lawrence
R,^+,t-N"^^^• onveyance document Buyer 2-Name as appears on conveyance document
10036 W 565 S
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665
Telephone Number 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 S NO ONDITION
Q ❑ 1.Will this property be the buyer's primary 151 ❑ 3.Homestea
residence? Provide complete address of primary • NI 4.Solar Energy Heating/Cooling System
residence,including county: ❑
132 N Tenth St S,Wind Power Device
Address(Number and Sweet) ❑ 0 6.Hydroelectric Power Device
Princeton. IN 47670 Gibson ❑ Fl 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Cade County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ Fl 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: -' -'e• • r••re information.
ID Cato tA.) 5105 S . Not available in all counties.)
Address(Number and Street)
at.°enSvitU14 €41 aS Catbso -!d - .163 - poi• 0 4,3 - od-g
City,State ZIPCode Coun
ame 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 Act".(Note:
Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.) ,
?ifft:E.L/4 e „•'"^'e — 5ignature ofBuyer2/Spouse
ne I awrence 03/05/9013
Number License/ID/Other Number 1,V'A\v
. 1