Homestead_Silver INDIANA SALES DISCLOSURE FORM SDF ID SDO ID 1786061 Page 2
• :.
Andrew S Ward Attorney
Preparer of the Sales Disclosure Cann Tide
9515 Seib Rd.Ste B
Address(Number and Street) Company
Evansville,IN 47725- 812-424-5550 wardlawofficergevanwille.nel
City State.and ZIP Code Telephone Number E-mail
SELLER(S)/GRANTO R(Sfi7ifq.AIZI; Z-4,V-
Mary Ann Sandleben
Seller 1-Name as appean on aurreyanee document Seller 2-Name as appears on(-immune°document
106 S Fourth Ave
Address(Number and Street) Address(Number and Street)
Haubstadt,IN 47639-
Telephone Number 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 y law and repared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
4970,-4A q_J %
Signature of Stkr Signature al-Seller
C. /the
Van iryn, Prin.p4 Akre,nrivitar
FY:BUYER-(S)/GRANTEE(Sit'AP.PEICATIONTOMOPERTY7TAX,DEDUCTIONSMDENTIFY:ALL ITEMSTHAT:APPLV.7.71:1 -
A.---16Feph Warren Silver
."---Thsuyer nametn-OppiMil on conveyance document Buyer I.Name as appears on conveyance document
106 S Fourth Ave
Address(Number and Street) Address(Number and Street)
Haubstadt,IN 47639-
Telephone Number
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 NP MNDITIQN_
0 0 1.Will this property be the buyer's primary El • 3. Homestead
residence? Provide complete address of prima D Li 4,Solar Eller!!! ci i /Co •S
residence,including county: .
106 S FOURTH AVE E S.Wind Powil to ice
Address(Number and Street) 6.Hydroelectric Power Device
Haubstadt.IN 47639 GIBSON
7.Geothermal En9EHga0a1$oling Device
City,State ZIP Code County
El 4J 2.Does the buyer have a homestead in Indiana to be 8.Is this property a residential rental property?
vacated for this residence? Ifyes,provide El E 9.Would you rec-- E r: ements for this
aft! "iplpti
complete address of residence being vacated, property via e . ri intact itKormation
including county: below. Cm .taXsOPATPMformation.
Not ova' • • 't 'unties.)
Address(Number and Street)
‘'"'" C T. 3/ 30 Y ODD 5 vlYs-C)
City,State ZIP Cade County 4
.flannY Proper . E-mail