Homestead_Cooper (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Karen S. Creek Closing Agent
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 karen.creek @ieffbosse.com
City.State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR[S)_ — - — _l
Derek M McGraw Reth N McGraw
Seller?-Name as5rjears on conveyance document Seller 2-Name as appears on conveyance document
Af/S— C6121•4-) eagq..S .)2 18 IS C.011VIN l P.i e e a bt'
a ress(Number and Street) Address(Number and Street) }
14-$ac-t1LT'-e ) yZ co70 PrIn Ir&-�'"Y'l r Lei-670
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
. d co - :lete : - equired by law,and is prepared in .cc.rdance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
` r 4 ,Ire it - A - 1f■ t'-&_CA. )
Signature of Selle Signature of Seller
Derek M McGraw Beth N McGraw le -9 • I S
Printed Name of Seller Sion Date(MFVDD/YYYYI Printed Name of Seller Sian Date(MM/DD/YYYYI
F. BUYER(S)/GRANTEE(S)=APPLICATION:FORPROPERTY_.TAX DEDUCTIONS-IDENTIFY.ALL ITEMS THATTAPPLY- __
Jeffrey S.Cooper Donna L. Cooper
Buyer l-Nameiaas'apv��+rs on conveyance document Buyer 2-Namf a-s��rs an conveyance document
1506 Cotton-Drive 1506 Cotton Drive
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton. IN 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOS THAT APPLY.
YES NO CONDITION YES NO CONDITION c •
Cl ❑ 1.Will this property be the buyer's primary El ❑ 3. Homestead
residence? Provide complete address of primary ❑ NI 4.Solar Energy Heati Coati temr
residence,including county: ❑ 0 5.Wind Powe D[l��y
FTHJu COUNTY AUDITOR
Address(Number and Street) n Fl 6. Hydroelectric Power Device
❑ 0 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
Rif ❑ 2. Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 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.
/- J 3 E • T:4; Hirt- Kd. Not available in all counties.)
ddress(Number and Street)i
rlifaeea-6:0 4744,7:0 0Z-f07-o6 - 1/- an 29d-a??
City,State ZIP Code County
Primary property owner contact name E-mail