Homestead_Fouts ;INDIANA SALES DISCLOSURE FORM SDF ID: 2015 Page 2
D. PREPARER
Kathy Masterson Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
_Evansville, Indiana 47713 (812)425-0055 kathy @swinland.com
• City, State,and ZIP Code Telephone Number E-mail
' E. SELLER(S)I GRANTOR(S)
John A. Creek
Seller 1 -Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1234 E Taftown Rd
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true,correct
and com to as require by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
{
Si azure of Seller Signature of Seller
Jo A. Creek 5/27/2015 5/27/2015
-t Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
-F: BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITEMS THAT APPLY
Josh A. Fouts
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFjYrf.L f F.TIZeb THAT APPLY.
-}YES NO CONDITION Y 0 CONDITION JJ UU���� 11
�� ❑ 1. Will this property be the buyer's primary Q .3 Homestead - .
residence? Provide complete address of primary L 1r'.; . <�mlfi
❑ p 4. Solar EnergypN r.^n-- • System
residence, including county: ❑ p 5. Wind F�t7MDPV1�8UNTY • 1JITOR
1234 East Taftown Rd.
Address(Number and Street) ID 6. Hydroelectric Power Device
Princeton, IN 47670 Gibso i ID p 7. Geothermal Energy Heating/Cooling Device
F. City,State ZIP Code County ❑ p 8. Is this property a residential rental property?
-�� Does the buyer have a homestead in Indiana to be ❑ p g. Would you like to receive tax statements for this
- vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
- Not available in all counties.)
Address(Number and Street)
(9b—la -o s-goo--opo, ass -cal
City, State ZIP Code County - Primary property owner contact name E-mail
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