Homestead_McGrewINDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
D. PREPARER
Peggy A. Conner Title Assistant
Preparerofthe Sales Disclosure Form Title -
P.
®01 N. Green River Road Suite 140 Trustworthy Land Title Co.. Inc.
address (Numberand Street)
E -mail
E. SELLERS GRANTORS >..;'..
Troy S Baize
Christine L Baize
Seller 1 -Nome as appears on conveyance document
4315 W. 200 South
Setter 1- Name as appears on conveyance document
4315 W. 200 South
Address (Numberand Street)
Owensville_ IN 47665
Address (Number and Street)
Owensville_ IN 47665
City, State and ZIP Code
City, State, and ZIP Code
Tele hone Number E -mail
I Telephone Number E-mail
Under penalties of perjury, 1 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 ".
S(gnatureofSeller S(gaatureofSeller
'
Christine L Baize 03/09/2011
Print ,amen Seller Stan Date IMM DD Panted Nome o Seller S "an Dale (MM/DD
F UYER S GRANTEE S -A PLICATION. FORPROPERTYTAXDEDUCTIONS- IDENTIFYALLITEMS.THATAPPLY
Scott M. McGrew
Bvyerl- Nameas oppwrs nveyvnce document
Buyer 2- Nome as appears on conveyance document
Address (Number and street)
Address (Number and Street)
"ato ka. N 7666
ySmte ZI
Ciry, State, and ZIPCode
E -mail
Tel m er E -mail
THESALES DISCLOSURE FORM MAY BE USEDTOAPPLY FOR CERTAIN DEDUCTIONS FO IS PROPERTY. IDENTIFY ALL OF THOSE T PLY.
YES NO CONDITION YES NO CONDITION
Q ❑ 1. Will this property be the buyer's primary
❑./ ❑ 3. Homestead
residence? Provide complete address of primary
eating /Cooling System
residence, including county:
a 8evc�
106 South West Street
❑ R] 6. Hydroelectric Power Device
Address (Number and Street)
Patoka IN 47666 Gibson
❑ Q 7. Geothermal Energy Heating /Cooling Device
❑ 0 8. Is this property a residential rental property?
City, SmteZIPCOde County
Q❑ 2. Does the buyer have a homestead in Indiana to be
❑ 0 9. Would like to receive tax statements for this
vacated for this residence? Ifyes, provide
you
complete address of residence being vacated,
property via e-mail? (Provide contact information
including county:
below. Please see instructions for more information.
3119 N. 150 West
Not available in all counties.)
Q
Address (Number and Street)
Patoka, IN 47666 Gibson
q
_— �Q�_ - 3�0 '4Ol d
Ciry, State ZIPCode Counry
Primary property owner contacmame 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 required by law, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". (Note:
Spouse info ation, Social Se ty and Driver's License /Other numbers are not necessary if no Homestead Deduction is
being filrj�
S(gnmowo Buyerl Signature ofBuyer2lSpouse
03/09/2011
✓rimed Legal A'ame ofBaner l S(gn Date(MM/DDITYrr) Printed Legal NameofBuyer2 /Spouse S(gn Dole(MM/DD/YYYY)
Last 5 digits of Buyer l Driver's State Last 5 Digits ofsocial Security Number Lost 5 digits of Buyer 2 1Spouse Driver's State Last 5 Digits of5ocial Security
License /ID /other Number Number License /ID 10ther Number