Homestead_Alexander INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER .
CHRIS LENFERS CLOSING AGENT
Preparer of the Sala Disclosure Form Tide
501 MAIN ST STE 101 BOSSE TITLE CO
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)
CHRISTOPHFR M JINFS JFNNI JINFS
Seller 1.Name as appears on conveyance document Seller 2--Name as appears on conveyance document
2501 MAI IBU DR a-Ll/ 7■.�'—�
Address(Number and Street) Address(Number and Street)
EVANSVII I E IN 47725
Telephone Number E-mail
Under penalties of perjury, 1 hereby certify that this Sales Disci‘. ure o the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance • ' IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
qna�Sr are of Seller 110 4.D'
•i.1 7. 1s v I• I I A A A 0q/30/2013
( Printed Name of Sear Sian Date(MM/DOfYYY31 Printed Name o/Seller Sian Date(NM/OO/YYYYi
E (S)/GRANTEE(S)- PPLICATION FOR PROPERTY TAX DEDUCTIONS:IDENTIFY ALL ITEMS THAT APPLY
JAMES
Buyer H�ALEL AamXANDE
By I•N an on conveyance document Buyer 2-Name rs on conveyance document
3056 S 750 E
Address(Number and Street) Address(Number and Street)
FRANCISCO IN 47649
Telephone
ROPERTY. IDENTIFY Y.
I
■ LAail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT V. ,LII
YES NO CONDITION NO CONDmON—.
�❑ 1.Will this property be the buyer's primary ' -❑ .Homestead OCT 3 2013
residence? Provide complete address of primary E._ma . _ - - - ergy Heating/Cooling System
/05 Eesidpnce,ipcludi@gfeunty: ❑
�Q )'1 a 5.Wind Power Device ,,////����������
A (Numbe,r,
and reet) �/� /"• /- ❑ �6.Hydroelectric Power D�PEL1f
`R 'ntc.t r ` T [(O?o 6' S'6Y� GIBBON CO NTY AUDITOR
T 1 ` _ ❑ �7.Geothermal Energy Reahng/LUoohngU�vxe
Ciry.State ZIP e County ^^//
❑ L� $$ 1s this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide ❑ L'd' 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)
are -/a-O 2 //o?- ccc. of/0 - OcA
City,State ZIP Code County
Primary property owner contact name E-mail