Homestead_McClaflin I'
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
. D.PREPARER
DANIEL A.MOON ATTORNEY
Preparer of the Sales Disclosure Form Title
116 S.MAIN ST. REEVES, COCHREN&MOON
Address(Number and Street) Company _
PRINCETON, IN 47670 812/385-8641
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
AARON ENTERPRISFS
Seller 1'Name as appears on conveyance document Seller 2'Name as appears on conveyance document
5101 Kleitz Road
Address(Number and Street) Address(Number and Street)
EVANSVILLE IN 47720
Under penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
andrcoommpplle/tee as required by and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of ,Ie,' / Signature of Seller
Printed Name of Seller Sian Date VMM/0O/1YYY) Printed Name of Seller Sign Date(MM/oo/YYYI •
F.BUYER S GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEM T I A PLYr
a � '
.s ...rs on conveyance document Buyer 2-Name as appears on conveyance document
7710 N SHILOH CHURCH ROAD JUL 2 3 2015
Address(Number and Street) Address(Number and Street)
HAZELTON, IN 47640
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 .' IT10S
0 ❑ 1.Will this property be the buyer's primary 12 ❑ 3.Homestead
residence? Provide complete address of prim . oar nergy eating/Cooling System
residence,including county: ❑
5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
cty,State ZIP Code County ❑ 12 7.Geothermal Energy Heating/Cooling Device
Is1:1 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.
7710 N SHILOH CHURCH ROAD Not available in all counties.)
Address(Number and Street)
HAZELTON,IN 47640 GIBSON -1‘, -23 -off - 7-00 -000 . g 63 -60 9
City,State ZIP Code County !�
Primary property owner contact name E-mail