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Homestead_Absher INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER - DEBBIE JACKSON TYPIST Preparer of the Sales Disclosure Form Title 530 FREDERICA ST. FOREMAN WATSON LAND TITLE Address(Number and Street) Company OWENSBORO,KY 42301 270-689-2424 DJACKSON©FW-LT.COM City,State,and ZIP Code Telephone Number E-mail E.SELLERS)/GRANTOR(S): IAGOE ROMPS INC Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 3624 WATHENS CROSSING Address(Number and Street) Address(Number and Street) Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an LL'co 'plete as r quiredQ b y 1 w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". Si o Seller (/� -- - Signature of Seller • u • a I: a 1 Printed Name of Seller Sian Date(MM/DD/YYYYI Printed Name of Seller Sian Date(MM/oo/YYY11 F.BUYER(S)/GRANTEE(S).:APPLICATION FOR.PROPERTY-TAX DEDUCTIONS=IDENTIFY ALL:ITEMS THAT APPLY. - 1 - - ZACHARY K.ABSHER _ _ TIFFANY L.ABSHER1ir� Buyer I-Name as appears on conveyance document Buyer 2 Name as appears on conveyance document 706 WEST ELM STREET _ 706 WEST ELM STREET 4---b Address(Number and Street) Address(Number and Street) v HAUBSTADT, IN 47639 HAUBSTADT, IN 47639 Sep THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. OUN?Y r gto YFS NO CONDITION I YES NO CONDITION .4/'O 0 111 1.Will this property be the buyer's primary 0 ❑ 3. Homestead cot, residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System residence,including county: ❑ 706 W El M ST S.Wind Power Device Address(Number and Street) ❑ 0 6. Hydroelectric Power Device HAUBSTADT. IN 47639 GIBSON ❑ 0 7.Geothermal Energy Heating/Cooling Device City State Zl ,Code County ❑ 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 ❑ 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. Not available ' all counties.) Address(Number and Street) —/A/ � Ciy,State ZIPCOde Caunry ✓,W _/ed3 ' _ OW• 25 059 Primary property owner contact name E-mail