Homestead_Morgan (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER' - - ' . . - .. - -
•Sherri S Hudson Closing Manager
Preparer of the Sales Disclosure Form Title
_501 Main Street. Suite 101 __ Bosse Title Company
Address(Number and Street) Company
Evansville,IN 47708 812-4214000 sherri.hudson(Wjeffbosse.com
City,State,and ZIP Code Telephone Number E-mail•
E.SELLERS)/GRANTOR(S) - - - - ,
Raymond E Acton
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
52 2 carelixr5 -P2
Address(Number and car Address(Number and Street)
FVA145V/! LC 14 5/'77l5""
Under penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comp) as required by law,a is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature /Sell t .0_ Signature of Seller T
RaVinted Name afSeller Sian Date(HM/OD/1N1'1) Printed Name of Seller ��•�� oDM/DD/lYri1
F.-BUYER(S)/GRANTEE(S)r-APPLICATION FOR•PROPERTY;TAXDEDUCTIONS=IDENTIFYALLITEMS:.THATAP.FPLY:s=`_-„ _r5°•c-.�[.:
Matthew A.Morgan Shannon M. Morgan FEB 1 2 2015
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
110 S Vine St 110 S.Vine St nt • �>•A-�
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 Haubstadt IN 47639
GIBSON COUNTY AUDITOR
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
(,0g ❑ 1.Will this property be the buyer's primary 4 ❑ 3.Homestead
residence? Provide complete address of primary ❑ 151 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
Address(Number and Street) ❑ Is 6.Hydroelectric Power Device
❑ igi 7.Geothermal Energy Heating/Cooling Device
,City.State ZIP Cade County
ti( ❑ 2. 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 El ✓ 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.
110 S. (..1:HG SF Not available in all counties.)
Address( •mber and Street)
av6s1- f ( ZA) crig3q 6:0seni (26-a)-Di- aoo -DOD. WI-009
City,State P Code County
Primary property owner contact name E-mail