Homestead_Arthur (2) •
INDIANA SALES DISCLOSURE FORM SDF ID: 2015 Page 2
D. PREPARER
Teresa S. Holifield 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 teresa @swinland.com
City,State,and ZIP Code Telephone Number E-mail
E. SELLER(S)I GRANTOR(S)
Brandy Nichole Stafford
Seller I -Name as appears on conveyance document Seller 2-Name as appears on conveyance document
226 W Morton St
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660 ,
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
Nis
and complete as required by law, and ig prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
'3,anature\ot `z/ter Signature of Seller
Brandy Nichole Stafford 7/27/2015 7/27/2015
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
Steven M.Arthur
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance d000clit
418 WOak Address(Number and Street) Address(Number and Street) LEI)Oakland City, IN 47660 �
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALO{i,T A PLY.
YES NO CONDITION YES NO CONDITION Of1r1/T
❑ ❑ 1 resWill this pr Provide complete
address of primary ❑ ❑ 3. Homestead y'9(7pfTOR
residence, incrovide county: ❑ 0 4. Solar Energy Heating/Cooling System
❑ 0 5. Wind Power Device
226 West Morton Street
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Oakland City, IN 47660 Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
`city,State ZIP Code County ❑ 0 8. Is this property a residential rental property?
JLy1,
0 2. Does the buyer have a homestead in Indiana to be ❑ 0 9. 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.
`f
rl J C ^LL Not available in all counties.)
Address(Number of and
L Street) oZ_///9-/a/_ M/ / /7O - , �1 2
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City. od/ ( � COG GO "fit /one Primary property owner contact name ` V / E-mail
City. State ZIP Codg County