Homestead_Barton INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER - . . -
Stephanie Miller Closer
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(dfirstadvantagetitle.com
City,State,and ZIP Code Telephone Number E-mail
•E.SELLERS)/GRANTOR(S)
•
Paul King
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
10302 S Pheasant Run
Address(Number and Street) Address(Number and Street)
Haubstadt IN 47639
Under penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co plete as re ired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Paul King 9/12/2014
Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/MY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL FI T T A p t
-
.0�Chiistooher Barton Rebecca Barton A ./ RA. -1/
_, ..Nni cmyu w(J (✓�eyance document Buyer 2-N'ame as appears on conveyance document
'�� same OCT 8 2014
FOdrrs;(Nunmr and Street) �1 0 c,q3 Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION �� ,YEAS '^'F19K�
0 ❑ 1.Will this property be the buyer's primary /-- L✓� ❑ 3.Homestead
residence? Provide complete address of primary ❑ . o ar nergy Heating/Cooling System
1036A resjdewellrt ivGo�ty: � ❑
l / well .l .11 5.Wind Power Device
�
rest( am ra Tel, •f r,, ❑ WI 6.Hydroelectric Power Device
I Yr'3 Gibson ❑ 171 7.Geothermal Energy Heating/Cooling Device
City,State ZIP County
❑ 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 ❑ Z 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.
•o available in all coun r• .
Address(Number and Street)
I A - / l • 34 - 3oo _ Oo/. 995 - 0)-Y
City,State ZIP Code County
'Ciry Proper o^ - ail