Homestead_Hatfield INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D,EREPARER"' . , a
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.creek @ieffbosse.com
City,State,and ZIPCade Telephone Number E-mail
E.sELLER(S)/GRANTOR(S) _�' _ _ ;.1, . z
Dustin T Priestly _
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
506 37 1, -.,;e;, - s+
Address(Number and Street) Address(Number and Street)
r4 3.-4,,,,c& . tW 77E vg
Under penalties of perjury,t hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature Signature of Seller
Dustin T Priestly 7/2 5:/C"
Printed Name of Seller Sian Date(htWOonY0 Printed Name o[Seller Sign Date(H.WDo/YYVY)
.F.BUYER(S)/GRANTEE(SLtAPPLICATION.FOR PROPERTYYTAX DEDUCTIONS'IDENTIFY ALL ITEMS THAT APPLYZ _ ` _t" _ _ _'L
Sean W.Hatfield Kylee M.Wood -
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
9(j S G:bc,.., 5--1- 2_10 L U GIu-61-r. apa- 6
Address(Number and Street) ��^^ dydr�esss�(Number
r and{Street) 1 1 1 / I^I11 .
pI , 4r0� I,N gRcAo {e, /l IC((A� t, k/ U Yt.I10
THE S LES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION dia, NO C'. DITTO,' rA+I�'G 9014
4 L
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead l L 1
residence? Provide complete address of primary ❑ E 4.Solar Energy H ing/C I5gSystem
residence,including county: ❑
5.Wind P IBSON COUNTY AUDITOR
Address(Number and Street) ❑ 6.Hydroe ectnc Power uevice
City,state zl code Coanry ❑ gi 7.Geothermal Energy Heating/Cooling Device
❑ 2.Does the buyer have a homestead in Indiana to be El 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 for more information.
Not available in all counties.)
Address(Number and Street)
CVO—. (a_ 1 -log-ooa_si 3 -oA2
City,State ZIP Code County
Primary property owner contact name E-mail