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Homestead_Deer
INDIANA SALES DISCLOSURE FORM SDF ID: 26 - 16 - 1098473 Page 2 Jay D.Walden Attorney at Law Preparer of the Sales Disclosure Form Title 202 E.North Street Law Office of Jay D.Walden Address(Number and Street) Company Clayville, IL 62844 618-375-2611 jwalden @jaywaldenlaw.com City,State,and ZIP Code Telephone Number E-mail SELL'ER(S),,GRANTOR(S)"- - - -• Justin L.Deer — -- -------' --- - - -- --- -- - - -- Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 8008 S. 1250 W. Address(Number and Street) Address(Number and Street) Poseyville, IN 47633 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 of Seller Signature of Seller Justin L. Deer Printed Name ofSeller Sian Date(MM/DDryn p Printed Name of Seller Sian Date(MM/DD/YYM F.BUYER(S)/.GRANTEEfS)�APPLjCATIONiFOR!PROPERT,YCTAX,DEDUCTIONS-IDENTIFY,ALLITEMSiTHAT:A-PPLY . __. -_ •_ Justin L.Deer Jenna M. Deer Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docum t 8008 S. 1250 W. 8008 S. 1250 W. ��(( Address(Number and Street) Address(Number and Street) Poseyville, IN 47633 Poseyville, IN 47633 tic`, THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THATA.Y. YES NO CONDITION I YES NO CONDITION 1-1/ /-• --- 0 ❑ 1.Will this property be the buyer's primary El 3.Homestead '00/r residence? Provide complete address of primary ❑ El 4.Solar Energy Heating/Cooling SysPeeM residence,including county: 8008 S. 1250 W. ❑ 0 5.Wind Power Device Address(Number and Street) ❑ s 6.Hydroelectric Power Device Poseyville, IN 47633 26 ❑ © 7.Geothermal Energy Heating/Cooling Device Ciry,State ZIP Code County El 2. Does the buyer have a homestead in Indiana to be El 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 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.) (Number and Street) a •/7/q ?j/o_ . c7c 7= a Justin L. Deer W`' city,State ZIP Code County Primary property owner contact name E-mail INDIANA SALES DISCLOSURE FORM SDP 1D: � Paee 2 '•D�PREP,ARER'? —: �:'y l- «t�.'.,_�gz.. -.- .>.' -02- ra�sr._ - �?'- .5!,.�a..7_ - ._c. r•� : ::.� !�... DONALD R. DOWELL, II REGIONAL MANAGER of the Sales Disclosure Form Title �Preparer 07 N. GREEN RIVER RD. DIRECT TITLE INC. Add. (Number and Street) Company , EVANSVILLE, IN 47715 City, State, and ZIP Code Telephone Number Email E3SE LEE R 5 GRANTOR Dustin F. Hester Sellerl- ",eeasappsarsor vryancedocument Seller 2 -Name as appears on roaveyance document a y �aben �d( ,y- nd gtreet) Address (Number and Street) tdress(YUmber le6J rfalem an �, �.,� Ciry, Sww, and ZIP Code City, State, and ZIP Code Telephone Number Email I Tale hone Number 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 mplete as requd, and is prepared in accordance with IC 6- 1.1 -5.5, "Real Property Sales Disclosure Act ". Signature of Seller Signature of Seller Dustin F_ Hester 09/28/2010 Pdnwd Nameo Seller Sian Date MM D Printed Name o Seller Sian Date MM D/YYY11 -F- ° "APP.LICATIOMFOR. PROPERTY. TAXDEDUCTI ONS`IDENTIFY:ALI ITEMS :THATAPPLY ° ;'_ - a•` n L. Deer r 1 = Nam e as appmrs on roent Buyer 2 Name as appears on conveyance document NJu ess(Number and Street) Address(NUmber and Street) atibs��d� , Y7463 9 iy, Slow, and ZIP Code Div, Stow, and ZIP Code Email E -mail THESALESDISCLOSURE FORM MAYBE USEDTO APPLYFOR CERTAIN DEDUCTIONS H ROPERTY. IDENTIFY ALL OFT ETHAT APPLY. YES .0 CONDITION I YES NO CONDITION ❑ 1. Will this property be the buyer's primary ❑ 3. Homestead residence? Provide complete address of primary Heating /Cooling System re jdence,' 1c1 ding county: �6 S. w ,-) ❑ Q S. Wind Power Device ❑ ❑✓ 6. Hydroelectric Power Device Add ss(NumberandS reef) /+ / Ote !)1 I t !L7 (.33 [] 1 bSD� ❑ ❑J 7. Geothermal Energy Heating /Cooling Device ❑ ❑V 8. Is this property a residential rental property? City, State ZIP'Ae County ❑ ff 2. Does the buyer have homestead in Indiana to be a vacated for this residence? If yes, provide ❑ ❑✓ 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.) "�ee2 City, Stare ZIP lode County Primarypmperry owner ronwc[name 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 information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is being file .) Signamr fBvysrl SignatureofBuyer2 1Spouse !Ni I oar Q / n Printed Legal Name ofBvyerl Sign Dow (MM/DDIYYYY) Printed Legal NameafB.ysr2 /Spouse Sign DowpovDD/YYYh Number Last 5 digits cfBuyer 2 1Spouse Driver's Stye Last 5 Digits ofSoclalSemriry License /ID10ther Number Number License /!D /Other Number