Homestead_Bratton (2)INDIANASALES DISCLOSURE FORM SDF ID:
3R I,-)
Page 2
D:^REPARER
CHRISTINA M LENFERS CLOSING AGENT
ofthe Sales Disclosure Form Title
C 0Preparer
1 MAIN ST STE 101 BOSSE TITLE CO
.Address (Number and Street)
E -mail
E. SELLER(S)/GRANTOR(S)
WILLIAM F DRAKE
JAMI L DRAKE
Seller 1 Name as appears on conveyance document
4859 W 575 S
Seller 2 - Name as appears on conveyance document
9859 W 575S
Addres(Numberand Street)
O/��
E -mail
Under penalties of perjury, 1 ereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and co teas requWed by aw, and is prepared in accordance with -5.5, " Real Pro erty Sales Disclosure Act ".
QQ
Signature a /Seller Si nature
1L>ii(icrfn 1)rO oslog /a;Ool L. DraKe o dt as
Print er Stan Datr MM DD Printed Nameo Seller Stan Date MM/DU/YYYli
. UYERS GRANTEE(A- APPLICATIONFORPROPERTYTAXDEDUCTIONS= IDENTIFY.ALLITEMSTHATAPPLY_=_`
ERIC D BRA TT N
Bvyerl Name as appea onmyancedocument
Buyer 2- Name as appears on conveyance document
424 COLONIAL DR
umber and Street)
Address (Number and Street)
EVANSVILLE IN 47710
City. State, and ZIP Code
Email
Telephone Number Email
THE SALES DISCL05URE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION NDITION
Q ❑ 1. Will this property be the buyer's primary
❑✓ ❑ 3. Homestead
residence? Provide complete address of prima
o ar •nergy eating /Cooling System
GigSa rPf1_�/ P e,
❑ Q 5. Wind Power Device
❑ ❑✓ 6. Hydroelectric Power Device
dres(Number6r,ISole[1 ,,, • /.',.� r-
nQ (114 s
y(M p `�' �JSOy—
❑ ❑ 7. Geothermal Energy Heating /Cooling Device
❑ ❑./ 8. is this property a residential rental property?
City, Sture ZIP Code County
❑ Q 2. Does the buyer have a homestead in Indiana to be
❑ 9. Would like to receive tax statements for this
vacated for this residence? If yes, provide
you
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.)
I —�i ( L�1ill IN r 17 O d, 1
Addres (Number and Strrel)
City Swx ZIPCode County
Primary prupertyoumer cunrac[ name Email
Under penalties of perjury, l 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 mf rmation, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is
being filed p ^l
i'k natureafBuyerl erl 5ignanrreoJBvyer2/Spouse
Printed INoN m BuyerI Sign Dow(MM/DD/YYYY) Printed Legal Name of Buyer 2 /Spouse Sign Dow(MM/DD/FTYY)
Security Number Last 5 digits of Buyer 2 1Spouse Driver's State Last 5 Digits of Social Security
License /ID /Other Number Number License /ID /other Number