Homestead_Taborn (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 tresa@swinland.com
City, State,and ZIP Code Telephone Number E-mail
E. SELLER(S)I GRANTOR(S)
Walden R. Johns Sharon K. Johns
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
415 N.Main Street 415 N. Main Street
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660 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
and complete as required by law, and is prepared in accordance with "Real Pro�y�s(Disclosure Act".
Signature of Seller / - Signature of Seller
Walden R.Johns 9/29/2015 Sharon K. Johns 9/29/2015
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
Andrea D. Taborn
Buyer 1 -Name as appears on conveyance document Buyer 2-Name as appears on conve ce d u nt
415 N. Main Street N.
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660 �C15 9
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF'R�S AT APPLY.
YES NO CONDITION YES NO CONDITION VD/7'
Ott
0 ❑ 1. Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary ❑ 0 4. Solar Energy Heating/Cooling System
residence, including county:
❑ 0 5. Wind Power Device
415 N Main Street
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Oakland City, IN 47660 I Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
City, St to ZIP Code County ❑ 0 8. Is this property a residential rental property?
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.
//Not available in all counties.)
Address(Number and Street) o/'/,r�i//- d/ e- 029. 997- oo 2
City, State ZIP Code County Primary property owner contact name E-mail