Homestead_Bradley INDIANA SALES DISCLOSURE FORM SDF ID: 2014 Page 2
D. PREPARER
Teresa Holifield
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812)425-0055 teresa @swinland.com
City,State,and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Horizon Property Holdings, LLC, an Indiana limited liability
company
Seller I -Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2282 E.Warrenton Road
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639
Under pe =hies of p ry, I -reb certify that this Sal:pisclosure,to the best of my knowledge and belief, is true,correct
and complete as r uir;,),msf aw -n. s prepare. in . •rdance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
e of Seller Signature of Seller
David F. Gruebel,Me .er 2 ) L.
Printed Name of Seller Sign Date(M 'D/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITEMS THAT APPLY
Theresa L. Bradley
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
4Sic. C. 0- 5cui-1-
Address(Number and Street) Address(Number and Street)
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 - NO CONDIT•z-'
0 ❑ 1. Will this property be the buyer's primary 0 ❑ 3. Ho.t_ : • i
residence? Provide complete address of primary ❑ 0 4. Sol.''. 4, j e.tins •(, System
residence, including county: _ -
- ❑ 0 5. Win. •owerDevice
601 S 9th Street 0 6. Hydroelae� PbvQr�®§Q'ice
Address(Number and Street) ID f CB +
IFiaubstadt, IN 47639 I Gibson,
❑ 0 7. Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ❑ 0 8. Is this pr.f -rt °-; of rental property?
❑ ❑ 0 9. W .A i ments for this
2. Does the buyer have a homestead in Indiana to be �,4Q ® 4�
. vacated for this residence? If yes,provide complete pM t t1 via-email. (Provide contact information
address of residence being vacated,including county: below. Please see instructions for more information.
Not available in all counties.) '(yam
Address(Number and Street) a(0-13—Q Co— 3:0. 000 SS 3 CC$
City, State ZIP Code County Primary property owner contact name v E-mail