Homestead_Boze INDIANA SALES DISCLOSURE FORM SDF ID: 2014 Page 2
D. PREPARER .
Kathy Masterson Escrow Officer
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 kathy@swinland.com
City, State,and ZIP Code Telephone Number E-mail
,_E-5ELLER(S)1;GRANTORS)
Kenneth R Weisling, Sr. Mona Weisling
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
542 S Meridian Rd 542 S Meridian Rd
Address(Number and Street) Address(Number and Street)
Winslow, IN 47598 Winslow, IN 47598
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct
and plete as required by law, and is prepared in accordance with IC6-6-1..11/-5.5, "Real Pr arty Sales Disclosure Act". /
L_Signatue of Seller=--' L-Signature of Seller t
Kenneth R Weisling, Sr. 7.1 67, y Mona Weisling .-__ ;
Printed Name of Seller C-Sign•Date'MM/DD/YYYY) Printed Name of Seller CSign•Date(MM/DD/YYYY)J
F-BUYER(S)IGRA NTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL ITEMS THAT APPLY
1, eresa Ann Boze
Guyer 1 -I ame as appears on conveyance document Buyer 2-Name as appears on conveyance document
' 1Q4N 3rd Ave
Address(Number and Street) Address(Number and Street)
Francisco, IN 47649 ,
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. I TI AlgpJL OF Th ry SETH APPLY.
7 YE NO CONDITION YES CONDITION R / F,j
❑ . Will this property be the buyer's primary CT • ❑ �3) Homeste)
1
residence? Provide complete address of primary ❑ 0 4. Solar Energy AWk iri /Coa( Q System
residence, including county:
❑ 0 5. Wind Power D vice
110 South Gibson Street
0 0 6. Hydroelectri
Address(Number and Street) Y
;Oakland City, IN 47660 Gibson ❑ 0 7- Geotf�� a {iGrE�}1p(dafinViftbgttRDevice
City, State IP Code County ❑ 0 8. Is this property a residential rental property?
3. Does the buyer have a homestead in Indiana to be ❑ 0 9. Would you like to receive tax statements for this
li vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
- - - f - Lio.3 -oat. / A. 7 -o o
City, State ZIP Code County Friary property owner contact name E all