Homestead_Snodgrass •
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER - --
Karen S.Creek Closing Agent
Preparer of the Sales Disclosure Form Tide
501 Main Street,Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville, IN 47708 812-421-4000 karen.creekc jeffbosse.com
City,State,and ZIP Code Telephone Number E-mail
E.SELL ERS)/GRANT0HfS)
Homer H Critser
Seller 1-Nome as appears on conveyance document Seller 2-Name as appears on conveyance document
3794 W 75 S
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and Y .In ;FegV y law,apd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Stg r o( de Signature of Seller
Homer H.Critser by Jeffrey A Bosse POA 07/11/14
Printed Name of Seller Sian Date(MH/DD/YrrY) Printed Name of Seller (xv/DO/YrrY)
F.BUYERS GRANTEE S -APPLICATION:FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL IT S A AP 9y
randen Snod Cass
••) - • .• • conveyance document Buyer 2-Name as appears on conveyancedocq(npp[ nni
3794 W.75 South JVL 16 1°14
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
Sicsfaudir-
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 CONDITI
0 ❑ 1.Will this property be the buyer's primary (12 ,❑/ 3.Homestea
residence? Provide complete address of primary U I rl 4.Solar Energy Heating/Cooling System
residence,including county: ❑ r-/
3 74 9 w 75 S L(-�J-�( S.Wind Power Device
Address(Number and Street) L.rl❑ 6.Hydroelectric Power Device
,Address A, _...,J. 47b70 Olasaw ❑ 7.Geothermal Energy Hea ting/Cooling Device
City,State ZIP Code County
❑ 0 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 ❑ 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 or more information.
Not available in all counties.)
Address(Number and Street) 00O 7T n
3 -027
City,State ZIP Code County A� " // _ Me
�,..,..-:�_..• ,ome • ail