Homestead_Flusche (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
'D.PREPARER., ' - . • -
W.Wyatt Rauch. Attorney
Preparer of the Sales Disclosure Form Title
612 E Main Street, W.Wyatt Rauch Counselor at Law
Address(Number and Street) Company
Petersburg,IN 47567 812 354 8406 wvattrauch(tilfrontier.com
Ciry.State,and ZIP Code Telephone Number E-mail
:E:SELLER(S)/GRANTOR(S) _
James E Catt Shirley Site Catt
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
204 Kentucky Street 204 Kentucky Street
Address(Number and Street) Address(Number and Street)
Hazleton IN 47640
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�I(/y law and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".AL/1W Ai- y
Signature of Seller Signature ofSellrr
James E.Catt and Shirley Site Catt 01/ /2014 Shirley Sue Catt 03/ /2014
Printed Name or Seller Sian Date(MM/OO/YYFYI Printed Name of Seller Sign Date(MM/DO/Yrrn
3"
F.BUYER(S)/GRANTEE(S)'-APPLICATION FOR PROPERTY TAX DEDUCTIONS='IDENTIFY ALL-ITEMS THAT'APPLY?_-• 1-': =: ---
Joseph E.Flusche and Diana K. Flusche,husband and wife Diana K. Flusche
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
110 S Mill Street. 110 S Mill Street.
Address(Number and Street) Address(Number and Street)
Hazleton,IN 47640 Hazleton,IN 47640
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION r
2 j 1.Will this property be the buyer's primary 0❑ [1 3.Homest ppg�*�s/
residence? Provide complete address of primary 4.Solar E 'i'!e 81seM tem
residence,including county: ❑ is 109 Fast 3rd Street 5.Wind PowerDtpeevic ,,nn
Address(Number and Street) n 0 6.Hydroelectr1// rAhNg
Hazleton, IN 47640 Gibson ❑ 0 7.Geothermal ergy Heatin /Cooling Device
Ciry,State ZIP Cade County
❑ 0 2.Does the buyer have a homestead in Indiana to be 0 ❑ 8 Is this pro I rental property?
vacated for this residence? If yes,provide ❑ 0 9.WotgligalccOURTAteAWOKEGItents 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)
City.State ZIP 4-ba 59-0 3a- -� okato-01.q
i
County
Primary property owner contact name -E-mail