Homestead_Thompson (3)INDIANA SALES DISCLOSURE FORM SDF ID: I Pa e 2
D.�PREPARER
Karen S. Creek ClosincLAgent I
Preparer of the Sales Disdosure Fortn Title
501 Main Street. Suite 101 Bosse Title Comoany I
Address(Numberand5[ree[) Company I
Evansville. �N 47708
I E-mail
E. SELLER S GRANTOR S
_Anthony E Mayer Anna Katherine Mayer �
Seller]-Nameasappeorsonmm�eynncedaamnen[ Seller2-Nameasappearsonconveynnaedocumen[ i
'7 �GS S �:Y E '! � �l 5 � . � oo E
tAddress (NTumber and S[reetJ )� Address (Number and Strect) t w � ��/
`OY'f lJ'C c3�Y�Ci�'� I N ^{ / il�� p � C�(� ��� Y c�r`C�t` I iV !^L (�1D
Ciry, Srate, and ZIP Code
� Email
Under penaltles of perjury, 1 hereby certlfy 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 IC 6-1.1-S.S, "Real Property Sales Disclosure Act".
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Signamre of5elleY�� Signomre of5eller I (��
AMhonv E Mayer by.lo D Michel AIF �� �LO� l5 `` �r
Prin[edNameo Selle� Slqn a[efFC�i/DD/YYYIj PrinredNameo Seller S! nDate AeV/OD/YYYiI
F. BUYER S GRANTEE S-APPLICATION FOR PROPERTY TAX DEDUCTIONS= IDENTIFY ALL ITEMS THAT L
Eric J. Thomoson Lisa K. Thom on �
Buyerl-Nomeasappearsomm�veyvnredocument euy�er2-Nameosappwrson�jryanredocume � i
2asa w. sso souin 2454 W. 950 South �s 2 I
Address/Numberond5trret) Address(Numbe�ond5[reetJ � � �
Fort Branch. IN 47648 FoA Branch tN 4764 CD �j�i
� E�mail
THESA6ESDISCLOSIIREFORMMAYREUSEDTOAPNLYFORCeRTAINDEDURIONSFOR . .�D�OSE- TAPPLV. Q� I
1'FS NO W%DITIOY 1'FS NO CONDITIOH
�✓ � 1. Will this property be [he buyer's primary �✓ � 3. Homestead I
residence? Provide complete address of prima rgy eating/Cooling System
residence, including coimry: �
� Q S. 4Vind Power Device
Address(Numberand5veet) . � Q 6. HydroelecMc Power Device
[ity,5m[eZlPlode co��ry � ��• Geothermal Energy Heating/Cloling Device
�� 2. Does the buyer have a homesread in Indiana co be � ❑� 8� �s this property a residential r �ntal property?
vacated for this residence? If yes, provide ❑ ❑✓ 9. Would you like to receive tax s�atements for this
complete address of residence being vacated, property via e-mail? (Provide contact informotion
including county: belo�v. Please see instrucdons jo�r more information.
Not availa6le in all counties.)
Add�ess(Numberond5tree[) _ �
�-- � 8-a �- a oo -000. l, � a-oaS
City, Smte ZIP lade Counry
Primarypraperryownercmmctnome � E-mail
Under penalties of perjury, 1 hereby certlfy 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 IC 6-1.1-S.S, "Real Property Sales Disclosure Act". (Note:
Spouse informa[ion, Social Security and Drivefs License/Other numbers are not necessary if no Homestead Deduction is
being filed.
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Sig Nreo( uyerl 5! alur¢ofBvyer2/Spause
Fric.l Thnmrcon I isa K. Thomoson
Secunry
Litense/ID/OtherNumber Num6er Cicense/ID/O[herNumber
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