Homestead_Backer INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D. PREPARER
Dana McBride Closer
Prepare'of the Sales Disclosure Form Title
606 Main Stret The Title Co.
Address(Number and Street) Company
Jasper, IN 47546 812-482-1696
City,State,and ZIP Code Telephone Number
E-mail
E.SELLER(S)/GRANTOR(S)
Scot J Turoin Susan L Turoin
Seller I Name asa pears on conveyance document Seller 2-Name as appears on conveyance document
599 as 350 N.
ress(Number and Street) Address(Nurnhe F)d Street)
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 re ired law,and is prepared in accordance with IC 6-1.1-5.5`Real Property Sales Disclosure Act".
Signature of Seller -Signature a/Seller -_.
Scot J Turoin CCC 7-7-14 Susan L Turoin 7-7-14
Printed Name of Seller Sign Date(MM/DD/YYM _ Printed Name of Seller Sign Date(MM/DD/vrvr)
F. BUYER(S)/GRANTEEW-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY
Donald J. Backer Suzette L. Saxe
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
70 1-1 c Old 1-akktz k c/-
Addres(NumberandStreet) Address(Numb rand Stre t) /
r-�ct- c 1 g7( 620 �)( 1(7 vim.
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 ❑ CONDITION I / A'1 �,
[fj ❑ 1.Will this property be the buyer's primary 3. Homestead 1 ;�.�7 1pp
residence? Provide complete address of primary ❑ 14,4.Solar Energy Heating/Cooling System
residence,including county: ❑ Br 5.Wind Power DeviaL 10 2014
Address(Number and Street) . ❑ ^ 6. Hydroelectric Power Device
G11�c LK/
❑ 7.Geothermal En- -_g - ' Kio ing Device
City,State ZIP Code County ,—,/ ' y
R ❑ 2. Does the buyer have a homestead in Indiana to be ❑ L��/8. Is this pr�{1R�Q�1r�61i ig?iil 1 r� p�gpe ty?
vacated for this residence? If yes,provide ❑ N 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
below. Please see instructions for more information.
including county: f f
1050/ 50 C- ) 4- a 7's- J
'5 one&av Dr Not available in all counties.)
Address(Number a d Street) Metro Ca Im'I.TL
-eldl0onof TAJ 47533. ?t3 .f ivi, oz-04 -07s-30Q- 000.101a-oz
City State ZIP Code. WO bos)I County
Primary property owner contact name E-mail