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Homestead_Dike (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER- --- - -- . --- .. - - - . . ., _.. - - -. .. •Stacey Salzman Closing Officer Preparer of the Sales Disclosure Form Title 4962 Lincoln Ave First Advantage Title Address(Number and Street) Company Evansville, IN 47715 812-490-8485 theteam(tilfirstadvantagetitle.com City,State,and ZIP Code Telephone Number E-mail - . --._. - _ •E.SELLER(S)/GRANTOR(S) _ - _- Y. t -.�. :4-:_:i _' Bradford A Garnett Renea 0 Garnett Seller I-Name as appears as cpnveyanc dorume t Seller 2-Name as appears on conveyance document 1s1citt—& A e t AdNumber and Street) Address(Number and Street) -- 0)e4 111fICIA- 1 O 4 7V tick Under penalties of perjury,I her by certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and e as E u'/d and is prepared in accordant: wit t IC 6-1.1-5.5,"R"eeal Property Sales.Disclosure Act". tgnature of Seller Signature of Seller Bradford A Garnett /� �� Renea 0 Garnett 5 �__ Printed Name of Seller Si aDate MM/DD/YYYI) Printed Name ofSeller Sian Date(MM :F.BUYER(S)%GRANTEE(S)-APPLICATION•FORPROPERTY TAX.DEDUCTIONSE'IDENTIFY,ALL ITE 1 I, JA1fPPp __ _ __ -__ Brenda Gail Dike .iI erl Name as r op conveys ce document Buyer 2-Name as appears on conveyance document A 00 Adrls(Number d Streeneeett)IrI C��� Address(Number and Street) MAY 28 2at4 t • tilt In un I N L17V Z TIIE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF TIIOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION IZI ❑ 1.Will this property be the buyer's primary Q ❑ 3. Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ ig 7957 South Andee 5.Wind Power Device Address(Number and Street) ❑ Q 6. Hydroelectric Power Device Fort Branch, IN 47648 ‘1')W\ ❑ IZ 7.Geothermal Energy Heating/Cooling Device City,State ZIP ode County ❑ 2.Does the buyer have a homestead in Indiana to be I ❑ 8. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ WI 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) 8 City,State ZIP code County `-+ 6- I -' 9-/ D3 -et) . )91) , Primary property owner contact name E-mail