Homestead_Mills INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:PREPAREP1 _
Karen S. Creek Closing Agent
Preparer of the Sales Disclosure Form Title
501 Main Street, Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville, IN 47708 812-421-4000 closing.dept @ieffbosse.com
City,State and ZIP Code Telephone Number E-mail
Dennis A Mills Andrea R Wade Mills
Seller I-Name as appears an conveyance document Seller 2-Name as appears on conveyance document
307 S Mill Street 307 5 Mill Street
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
and omplete as required by law,and is prepared in accordance wi IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Dennis A Milk 10100211 5' Andrea R.Wade Mills I CMS-
Printed NameofSeller Sian mate(MM/DD/YYYY) Printed Name of Seller Sian Dar
F. BUYER(SVGRANTEE(S)--APPLICATION FOR PROPERTYtTAX DEDUCTIONS IDENTIFY ALL:ITEMS:THAT:APPLY:I-1 " 1
Dennis A. Mills Andrea R. Mills
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
307 S. Mill Street 307 S. Mill Street
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665 Owensville. IN 47665
./
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 OCT 9 2015
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary ❑ IN 4.Solar Energy Heatinae
residence,including county: ❑ S.Wind Power IMP N COUNTY AUDITOR
Address(Number and Street) ❑ NI 6. Hydroelectric Power Device
❑ 0 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
❑ NI 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.
_ Not available in all counties.)
Address(Number and Street) al&- I �_ 1a - aO4-Doo.4alo-aa
City,State ZIP Code County
Primary