Homestead_Smith INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:PREPARER_ --
Karen S. Creek Closing Agent
Preparer of the Sales Disclosure Form Title
501 Main Street Bosse Title Company
Address(Number and Street) Company
Evansville, IN 47708 812-421-4000
City,State,and ZIP Code Telephone Number E-mail
E:SELLER(S)JGRANTOR(S) -- - -it_ -- -_ __::-.1.i_ - `__ ' -_
Teresa K Utley
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
Address(Numbe and Street) Address(Number and Street)
to 31/ /SoE
Winery,Under penalties of l ere.y certify tha this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and comp ete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
-0_1 A -aliJe✓►
Signature of Seller Signature of Seller
Teresa K UItle v 111 V lS /C
Printed Name of Seller Sian Date(MM/DD/YYYYI Printed Name of Seller Sian Date(ACM/DD/YITY)
F. BUYER(S)/GRANTEE(S) APPLICATIONjEOR-PROPERTY,TAX:DEDUCTIONS-'IDENTIFY ALL ITEMS:THAT`ARPLY , _ _:.. _I
Shantel L. Smith . '
Buyer l-Name as appears on conveyance document Buyer 2-Name as appears on convey° e doc 't ens. Ji-1
402 W.Monroe Street
Address(Number and Street) Address(Number and Sweet) AUG 1-2 2015
Princeton, IN 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY-ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
[II ❑ 1.Will this property be the buyer's primary g n 3. Homestead
residence? Provide complete address of primary ❑ ❑' 4.Solar Energy Heating/Cooling System
residence,including county: ❑ ❑ 5.Wind Power Device
Address(Number and Street) ❑ a 6.Hydroelectric Power Device
❑ Er 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ t� 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 ❑ E 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)
a(0- la-b1-3o3-oDI. D6y-oa P
City,State ZIP Code County
Primary property owner contact name E-mail