Homestead_Walker (4) INDIANA"SALES DISCLOSURE FORM SDF ID: Pa eg
D.PREPARER • _ _
Closing Agent
Preparer of the Soles Disclosure Form Tide
501 Main St. Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville, IN 47708 812-421-4000
City,State.and ZIP Cade Telephone Number E-mail
E:SELCER(S)/GRANTOR(S)_ _ - i-
Anna E. Roth .- -
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
A (Act c .Pc, Cv'c Hu ��.
4.-,11 ress(Number and eet) Address(Number and Street)
X �)W'\CC*On iN a1` yK7
City,State,and ZIP Code I City State.and ZIP Code
X See Itijv_-1 n c
oc
-Telephone Number 0 E-mail Telephone Number E-mail
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 uired by I w,and is pre aced in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
X' >iGJll G�11� lti [f C—•�i(GCf fri /
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS=IDENTIFY ALL ITEMS TENjT:APPLY_ _ • _
-v
Byron S.Walker Deborah A. Walker it ; r
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance dacu,. t i
i
411 W. Spruce Street 411 W. Spruce Street
Address(Number and Street) Address(Number and Street)
No
Princeton, IN 47670 Princeton, IN 47670 (/2.1
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPL ,��e
YES NO CONDITION YES NO CONDITION AUD/TOR
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ Fl 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
619 S Poplar Hills Drive
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson
0 7.Geothermal Energy Heating/Cooling Device
city State ZIP Code County
Q ❑ 2. Does the buyer have a homestead in Indiana to be ❑ 8.1s this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 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.
L3.a Lill P. 5'I'-u3 Si Not available in all counties.)
AddresstlY umber and Street)
P)ec� : i- b113.5->j �‘-///o-,oa- cop. OO9- OA 2
City,State ZIP Code County
Primary property owner contact name Email