Homestead_McCandless (11) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER:..
Sherri S Hudson Closing Manager
Preparer of the Sales Disclosure Form Tide
501 Main Street, Suite 101 _ _Bosse Title Company
Address(Number and Street) Company
Evansville, IN 47708 8124214000
City,State,and ZIP Code Telephone Number E-mail
.E.SELLER(SJJGRANTOR(S)_. :...... -,,,.. -2 " - -
Caleb E Smith Bri(lney D Smith
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
31(/ W goo w 37& w -7vo w
Address(Number and Street) Address(Number and Street)
P.' f-ursbory, I N ¢7 5 tc -7 w-Lershorc-i , ( Al t-7 5&x'7
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".
6/��
Signature of Seller Signature of Seller �;
a �o �o/¢ f 1, I .
caleh F Smith Brittnev D Smith ;
Printed Name o(Seller Sian Da[e(MM/DD/YYY) Printed Name o Seller Se(-
F.BUYERS GRANTERS) APPLICATION FOR PROPERTY.TAX DEDUCTIONS IDENTIFY ALL-ITEMS A P.
dam A. McCandless Celena D.McCandless 2:7-
buyerI-Name as appears on conveyance document Buyer 2-Name as appears on conveyance documentMt R 2014
5590 N 650 E. 5590 N 650 E
Address(Number and Street) Address(Number and Street)
Patoka,IN 47666 Patoka. IN 47666 GIBSON COUNTY AUDITOR
_
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO NO CONDITION YFS `^ - "^"
Ixl ❑ 1.Will this property be the buyer's primary (T ❑ 3.Homestead
/-- residence? Provide complete address of primary ❑ [ 4.Solar Energy Heating/Cooling System
residence,including county: ❑
/519 S 9 So I S.Wind Power Device
Address(Number and Street) pp ❑ 0 6.Hydroelectric Power Device
On I9 N Q C 1 T Y• �{7k1. O @� 1650v ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State Zl Code County
❑
Er
2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 12 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)
016 - /3- AA - a 0 -oob . 7g5-o o h
City State ZIP Code Counry
Primary property owner contact name E-mail