Homestead_Osborne (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Chris Ferguson Closing Agent
Preparer of the Soles 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.SELLERS)/GRANTOR(S), - • -
Nathan R Rich • I indsay R Rich
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
4654 Watertower r,l - -I. -
Address(Number and Street) • Address(Number and Street)
Haubstadt IN 47619 Haubstadt IN 47639
Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and y [e as required taw,and is prepared in accordance with C15,"Real Property Sales Disclosure Act".
Signature o/Seller�j—� - 'Signature ofSellerJ' M�`vh
Nathan R Rich 07/31/2013 Lindsay R Rich 07/31/2013
Printed Name of Seller Sign Date ptn/DO/YYYY) Printed Name of Seller Sign Date(AIM/DO/MY)
F:BUYER(S)/GRANTEE(S)'.r APPLICATION FOR PROPERTY.TAX DEDUCTIONS=IDENTIFY ALL ITEMS THAT APPLY 1 C'.. .' : - -
Scott A.Osborne Nathalie S.Osborne
Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document
115 S.Jeremy Lane 115 S.Jeremy Lane
Address(Number and Street) Address(Number and Street)
Haubstadt,IN 47639 Haubstadt, IN 47639
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary N ❑ 3.Homestead
residence? Provide complete address of primary ❑ Fl 4.Solar Energy Heating/Cooling System
residence,including county: ❑ IN
9654 S Watertower Ct 5.Wind Power Device
Address(Number and Street) ❑ is 6.Hydroelectric Power Device
Haubstadt, IN 47639 ❑ 0 7.Geothermal Energy Heating/Cooling Device
City tate ZIP Cade County
El❑ ,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 ❑ 0 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.
IS 5. 3trzei LK ul tJC Not available in all counties.)
Address(Number and Street)
R11II5T1?DT IN 17103c{
GL 35°14 a t 3 L.-Zoo 0o c .`13 -7 oa5L
City,State ZIP Code County
Primary property owner contact name 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 ce=eics b5 i filed.) a Abtinatitis Caws
Lsignaaire ofBuyerI - tS(gnature ofBuyerT/Spous`_
Scott A Osborne 07/31/2013 Nathalie S Osborne 07/31/2013
iv\