Homestead_Ankenbrand INDIANA SALES DISCLOSURE FORM SDF ID: , Page 2
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Christina Ferguson Closing Agent
Preparer of the Sales Disclosure Form Title
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
ilE.:SEIERIWG RAN TORSY,'Sis 1;71f7.ff-_:41.;.*P-Cisi:T.1 p)1Lisl :1". :l 7.: Ttet Ca'Z a 4 1-
Crystal K Sensmeier
Ter bNamwygn covnZocument Seller 2-Name as appears on conveyance document
.i/Irell(Rr ter;lid are•t) Address(Number and Street)
al . . ) r . e-• k di i 61
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Telephone Number E-mail
Unde penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an pl t as qui .1a ,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
,
:Oskar of due s-
Signature of Seller
Cryctal K Sensmeier 03/19/2014
Printed Name of Seller Sian Date(AM/01)/YYYY) Printed Name of Seller Sign Date(MM/DD/M11
L-E.1-BUYER"(S)1/GRANTEE(SIZAPP.LICATIONIFORPROPERITTAXTEDUCTIONSIDENTIEY.7ALL'ITEMS.THATAPPLY('-titT7c.f.::fatr.
John S.Ankenbrand
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance dEILED
6973 S 500 E
Address(Number and Street) Address(Number and Street) MAR 2 5 1014
Fort Branch, IN 47648
Telephone Number : SI Gil ' AD 0 r ail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROP : • : -.- I THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
12 0 1.Will this property be the buyer's primary 12 ri 3. Homestead -
residence? Provide complete address of primarY41111111mmiumpz.,,s.„. r ,. gy Heating/Cooling System
residence,including county:
0 TA 5.Wind Power bevice
705 E Tretter Park Dr
Address(Number and Street) E] SI 6.Hydroelectric Power Device
Ft. Branch, IN 47648 Gibson D 12 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 .
12 8. Is this property a residential rental property?
0 [2'r Ql-Does the buyer have a homestead in Indiana to be ty
vacated for this residence? If yes,provide n SI 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) -
A -/9 /12-,3002-CW. 3/5--014
City,State ZIP Code County
Pnmary property owner contact name E-mail