Homestead_Bates (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
CHRISTINA LENFERS CLOSING AGENT
Preparer of the Sales Disclosure Form Tide
501 MAIN ST STE 101 BOSSE TITLE CO
Address(Number and Street) Company
EVANSVILLE IN 47708 (8121421-4000
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
•
RICHARD F POHL nion exit eC a1 ii-061-t■' OS R(610-2c�. I ISHA POHL
Seller l-Name as appearw con ynced ment •• L . Stitt' Seller 2-Name as appears on conveyance document
190 (AJ 6173 . 30.-km At -
Address(Num (and Str et Address(Number and Street)
_ tik , 4ctf I10 Li1639
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete ca
pllete as re red y law,and is prepared in accordance with IC�F.1-S.S,"Real Prr r • Sales Disclosure Act".
`
Signature of Seller inatu.
• ;I ••, wire e r(Z.-Y(-(- , I I I - I LISHA POHL 07/15/2015
Printed Name of Seller Qv-)V\ a 'Li(.r-.a ••te 4 whin') Printed Name of Seller Sian Date(MWEIDAThi
F.BUYERS)/GRANTEE(S) :APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL ITEMS THAT APPLY
ALLEN L BATES HOLLY S BATES
Buynl-•9ame ass rs onto vegan cedocumen[S�= y�2-Naamme as appears on conveyance document
j�l rl� Cct/ • . , tJ
Ad (Number an/i�ftree�e[ .� Address(Number and Street) r
f2,N i V -r al g749Ligf F 1 i /ED
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION -r,�T:
trl;I.v .i..,, •r
❑ 1.Will this property be the buyer's primary 0 ❑ 3.HomesteGa SON COUNTY AUDITOR
residence? Provide complete address of primary ❑ De 4.Solar Energy Heating/Cooling System
0,7 I �e G sider�ceecIitiy county: ❑ S.Wind Power Device
/�
Adgr : .vamnerpmparet) I , , ,t Lt.___,(e,„ 6 i 1 sc ❑❑ 6.Hydroelectric Power Device
.7 ID 7.Geothermal Energy Heating/Cooling Device
Ciry,State ZIP Code County
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d ❑ 2.Does the buyer have a homestead in Indiana to be
❑ ' 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 2/ 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
includin county: below.Please see instructions for more information.
jLI ) _ 5 / 4/(4 ,-1'.. Not available in all counties.)/� (.� f�
Addrnyrvumbeer and Stet) I�� f ` I f ('-7/ Y y 100_®O 1 I 'f3 X-A 4
Kit i_ l �J `l (Y lo-(93 - ( U liG�
City,State ZIP Code Gibs Coun
�'/ tii ty Primary property owner contact name E-mail