Homestead_Benefiel INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
_ r... -.. -.,- -. _. .
D'PREP.i1RER`° ;.t :. c_. __ - . . . _ .-
Sherri S. Hudson Closing Manager
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 sherri.hudsont jeffbosse.com
City.State,and ZIP Code Telephone Number E-mail
E:SELLER(S)/GRANTOR(S) .
Seth K Hadley Jessica A (Mangesl Hadley
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
7346 S Division St 7346 S.Division St
Address(Number and Street) Address(Number and Street)
Oakland City IN 47660 ' Oakland City IN 47660
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and c. plete . required b law,a r r 's prepared in accordance with 1.1--5.5,"Re Prope a s isclosure Act".
/ ■
Signature of Seller I !Y _ ir� mgoat eofSel!(Ie C///
Seth K Hadley Jessica A Hadley Z-//L7//S
Printed Name at Seller Sian Date(M.4/UD/IYYYI Printed Name of Seller !Sian Dr eat rM.4/DD/YYn7
F.BUYER(S)/GRANTEE(S)F APPLICATION FOR:PROPERTY TAX DEDUCTIONS-IDENTIFYALL ITEMS THAT.APP..LY,_
Brittnev Benefiel _
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears an conveyance document
278 South 1150 East
Address(Number and Street) Address(Number and Street)
YES NO CONDITION ' - NO CONDITIO.
td❑ 1.Will this property be the buyer's primary ( I ❑ 3.Homestead MAR 1' 2015
residence? Provide complete address of primary�` --JI 4.Solar Energy Heating/Cooling System
residence,including county: ❑
S.Wind Power Device f • e
Address(Number and Street) ❑ ig 6.Hydroelectric!Pm, r•> TY AUDITOR
City State ZIP County ❑ rg 7.Geothermal Energy Heating/Cooling Device
❑ Er 2.Does the buyer have a homestead in Indiana to be El LJ B.Is this property a residential rental property?
vacated for this residence? !ryes,provide ❑ 151 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 Street) a/__ a -I ( I_3 03_Oa) SC(
City,State ZIP Code Count l(J "'� l�J Jb
Primary property owner contact name E-mail