Homestead_Mescher •
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER I
Jeff H. Bosse Closing Agent
Preparer of the Sales Disclosure Form Title
® 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.SELLER(S)./GRANTOR(S)t;= _ _ :" _- fir:.:
Glenn Paul McDaniel aka Paul Glenn McDaniel Rebecca S McDaniel
Seller l-Name as ppears on onveyance document Seller 2-Name as appears on conveyance document
a (4 ►l'J - D' SC.tivL-A-
A umber dndS ee.) �� �� Address(Number.and Street)
C- i 'cam_ -
(
TelephnneNumbec E-mail
Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and cal .lete equuiiyr�edd by law,a d is prepared in accordance with IC .1-5.5,"Rea Property Sales Disclosure Act".
it ✓ S i rea Seller 4e/v142- Ill t.d.Aeuxt,c10
S;..mreofSeller _— f
Glenn Paul I D aka Paul Glenn McDaniel 04/12/2013 Rebecca a S McDaniel 04/12/2013
Printed Name of Seller Sion Date(MM/U0/Y) ) Printed Name of Seller Sian Dare(MM/oa/YYn)
F.•BUYER(S1/GRANTEE(SThAPPLICATION,FORPROPERTY<TAX DEDUCTIONS_IDENTIF,YALII ITEMS THATAPPLYX-N -7 ,°
Steven L. Mescher Debra J.Mescher
. . • ..pears on conveyance document Buyer 2-Name as appears on conveyance document
1615 Old Orchard Road 1615 Old Orchard Road
Address(Number and Street) Address(Number and Street)
Vincennes, IN 47591 Vincennes, IINN�47591 /
THE SALES DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY..-IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YE do CONDITION
0 ❑ 1.Will this property be the buyer's primary INI ❑1 er
3.Homestead
residence? Provide complete address of primary !J 4.Solar Energy Heating/Cooling System
residence,including county: ❑ Fl 5.Wind Power Device
1607 Cottonwood Dr
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP ode County
❑ 2`Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide
n Q 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 instructions for more information.
- Address(Number and Street)
016_ /01 .&k -'/O (• OD /. T3 /- O . f
Guy;Sw.rifr Code C. nty -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. p
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Signature ofBUyerl Si nature af3172' urea
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