Homestead_Smith (69) INDIANA SALES DISCLOSURE FORM SDF ID: Paze 2
r 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
I
Steven E Morgan ,Sheree A Morgan
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
261 4/4a,trio RAte bit . .2/67 /4-:-.)/10,,,,,a, -A .
Address(Number and Street) Address(Number and Street)
pAideE-72,4 nv 4-i bre, —
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complpte as required bylaw,and is prepared in accordance wit C 6-1.1-5.5," eal Property Sales Disclosure Act".
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Signa e of-Seller Si nature of Seller
Steven F.Morgan 07/29/2013 Sheree A.Morgan 07/29/2013
Printed Name of Seller Sian Date 1M M/DDIY117) Printed Name of Seller Siqn Date 1404/01)/1711)
•
F BUYE R(SVG RANT EE(STrAPPLICATION.FORPILOPERMTAX DEDUCTIONS;TIDENTIFY:ALUITEMSqHAT-TAP.PLY.glniain;
Jill Marie Smith Brian Lee Smith
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
(CA. •••
C. car;--Cs t=t•-tt— - 14,. .1 E ?s1/4.1-e.-_ •
Address(Number and Street) Address(Number and Street)
LI a 1/4-I 0 \ E.'.5 c 4 tr•-.‘ .7S-• Li L LI 41 1
YES NO CONDITION 4.. 't s b TION
TA El 1.Will this property be the buyer's primary 4 TA • 3.Hom-stead
residence? Provide complete address of primary 0 12 4.Solar Energy Heating/Cooling System
residence,including county:
5.Wind Power Devi
0 TA 5.
207 Hawthorne Dr.
Address(Number and Street — 0 NI 6.Hydroelectric Power Device
4isitartcHN-465zt ?C 4..V.-.e.;irk A% ..'i yyno Gibson _ 0 ig 7.Geothermal Energy Heating/Cooling Device
Ciry,State Z Code County
0 2.Does the buyer have a homestead in Indiana to be 0 NI 8.Is this property a residential rental property?
vacated for this residence? If yes,provide 0 NI 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.
Not available in all counties.)
Address(Number and Street) CR Ci- 1 a-0 G -y0/-003..3 33-0 a.?
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 nupiber are not neces ry if no Homestead Deduction is
being filed.) . e c
9gnakt •- -141, 1121
gnawre of Buyer! Signature of Buyer2/Spouse . .
. .
.Ii!!Marie Smith 07/7g/2013 Brian lee Smith 07/29/2013
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