Homestead_Reynolds (4) JD
INDIANA SALES DISCLOSURE FORM SDF ID:
Page 2
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D.PREPARER •a .3. ..�. _ .>t:tr-.sus-_ .d.'„-'..e +,��:��ji:z i..•1`.:^ .-_��I.1Ta2"o-�� �.a'��:� t.st'C.��-f;�`�'tb_ .�'-s•;a-r-i.r:l't4; }':1 ..
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 ZIP Code Telephone Number E-mail
EiSELLER(WGRANTOR(S);bkilt rUti..t `J ` x ::i. '".a°ssS ULC—: gcS3s'+ riti "e?o' _i ; £ .ka a l€:i`•3 z
Vincent Harris
Seller 1-Name as appears an conveyance document Seller 2-Name as appears on conveyance document
505 Georgia Ave
Address(Number and Street) Address(Number and Street)
Snringfield-OH 45505
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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature ofSeller Signature of Seller
Vincent Harris
Punted Name of Seller Sion Date(MM/DD/)Th) Printed Name o(Seller Sign Date(MM/OD/21111
`Fn3UYER(SPGRANTEE(S)LAPP,LICATIONIF,OR7P,ROPERTiYeTAX:DEDUCTIONSEIDENTIEVAL iTEMSiTHATIAPPtiYr, . °_''.eHt
Josh Reynolds
Buyer ame as appears on conveyance document Buyer 2-Name as appears on conveyance document
jo01 .i Rots aW.
Address(Number and Sayer) Address(Number and Street)
Ncwtoi /L 6 Zggc
+-'
YES NO CONDITION YES NO CONDITION DEC 31 RIA1
® ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead `��
residence? Provide complete address of primary ❑ 12 4.Solar Energy Hea g/Gool'ng S stem
residence,including county: ❑ 0 5.Wind PoCggh$ �p�l —
Address(Number and Street) ❑ IS 6.Hydroelectric PowerT)p�LTcr AUDITOR
City,State ZIP Code County ❑ 0 7.Geothermal Energy Heating/Cooling Device
p V] 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
T vacated for this residence? If yes,provide n a 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 S t r e e t) c -ta-o i_aO 1- W,- c q-c 8
City,State ZIP Code County
Primary property owner contact name