Homestead_Sparacino (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER4. . _ , . _ - . . .
•Linda Wiley Closing Agent
Preparer of the Sales Disclosure Form Title
501 Main St..Ste 101 Bosse Title Co
Address(Number and Street) Company
Evansville,IN 47708 812-421-4000 linda.wileyeieffbosse.com
City,State,and ZIP Code Telephone Number E-mail
IE:SELIER(S)/GRANTOR(S)-.3, '• . . ;•_ .. .' Lt=`; .r--. - .. ., z - .. ?`- : - .-- - . .•
SLL t%& Sitifid t.i N4)
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
a889s '1St
Address(Number and Street) Address(Number and Street)
1 OLIO trE V i tie
Telephone Number 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 complete as required by law,and js prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
c �0
Signature Der Signature of Seller
JuVe.. Sparc s -c OX. 12.1. b
Printed Name of Seller Sign Date 1MM/UD/YYYY) Printed Name of Seller Shin Date(MM/DD/YYYY)
FiBUYER(S)%GRANTEE(S) '`APPLICATION;FOR PROPERTY:TAXDEDUCTIONS"IDENTIEWAL[i ITEMS:THATAPPLY, r _._ .
William K.Sparacino
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
6327 S 1150 W
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 I YES `NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ 12 4.Solar Energy Heating/Cooling System
6 3 a
residence,including 5 county: ❑
7 J ,SO (r)/ 6.Wind elect c j� J F
Address(Number and Street) ❑ Q 6.Hydroelect c o e evi
UwtA$u it.t, r.1I,11 4/ 7665 G't asoN
❑ 0 7.Geothermal Energy Heating/Coo mg Device
City,State ZIP Code County
❑ 12 8.Is this property AtJ k r fia{ stal property?
❑ ❑ 2.Does the buyer have a homestead in Indiana to be L6fJ
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-m ?(provide tD ' formation
including county: below.Please se more information.
NotavoiGFS9®A'lC4J1Ap AUDITOR
Address(Number and Street) /n�I�s "/�/-/•�) •��t 1,�(`y�� /`(r\4 �/y,
City,SmreZIP Code a- 1 V 1 - !W-W I•of 1 gal
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
being f ed.) // /
Signature ofBuyerl Signature ofBuyer2/Spouse
Iyl i I l i am K Sco rc*Cno
Number License/ID/Other Number