Homestead_Fore INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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CHRISTOPHER E. CARL ATTORNEY AT LAW
Preparer of the Sales Disclosure Form Title
101 PLAZA EAST BLVD.. SUITE 102 TRUE TITLE SERVICE. LLC
Address(Number and Street) Company
EVANSVILLE. INDIANA 47715 812-402-6555 closings @truetitlein.com
City.State,and ZIP Code Telephone Number E-mail
.E.SELLER(S)/GRANTOR(S)-
STFVFN I 1 INTZFNICH
TriSgrne a ap mnv n ed Seller 2-Name as appears on conveyance document
d ress(Number and Sane,
Under penalties 'f( .rjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a d : plete r, ired b aw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Ad".
.r- trll111111,ir
nature of Seller Signature of Seller
STFVFN L 1 INT7FNICH 05l 20 /2015
Printed Name of Seller Sian Date(MM/DD/YYY11 Printed Name of Seller Sian Date(MM/DD/YYYYI
.F:BUYER(S)/GRANTEE(S),-.APPLICATIONIEOR'PROPERTY•TAX,DEDUCTIONS=�IDENTIF.I.PALLITEMS,THAT•APP,LYa_- - '
JUSTIN R. FORE AMANDA S. FORE
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
205 N. Second Street 205 N. Second Street.
Address(Number and Street) Address(Number and Street)
Owensville. Indiana
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OFTH ET APPLY: At---2 �_-_e+
YES NO CONDITION I YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead JUN 1 2 2015
residence? Provide complete address of primary
❑ 12 4.Solar Energy Hea 'ng/Cooling System
residence,including county: ❑ IN 5.Wind Power Deikevgar
705 N Second Street Owensville Indiana 4766c
Address(Number and Street) ❑ ❑ 6.HydroelAtMfativciCliggiEW AUDITOR
Owensville. Indiana 47665 GIBSON ❑ 0 7.Geothermal Energy Heating/Cooling Device
City.State Zi Code County
❑ 2. Does the buyer have a homestead in Indiana to be ❑ 12 8.1s this property a residential rental property?
vacated for this residence? If yes,provide ❑ IZ 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) U1y ' 9-01- Lloy-0( o 3o4-oa2.
JUSTIN R.8 AMANDA S.FORE l/��
City,State ZIP Code County
Primary property owner contact name E-mail