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INDIANA SALES DISCLOSURE FORM SDF ID: Paget
D.PREPARER - - - - - - ,.`r- "..
Christina Ferguson Closing Agent 1
Preparer of the Sales Disclosure Form Title
501 Main St Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville.IN 47708 812-421-4000
City,State and ZIP Code Telephone Number E-mail
'E.SELLERS)/GRANTOR(SJ 1 .
Kristofer B Wilhite Dusty I Wilhite
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
l(S EN-1)n Yoe Si
. dress(Number• d Street) Address(, mber and Sweet)
al I.1 L► _ar. co 2c-)
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.-1.1.5.5,"Real Properly Sales Disclosure Act".
. '
Signature of Seller �_i Sig •tore of Seller
Kristnfer B.Wilhite 02/110016 0 a a' s' - I /s •
Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller j (
F.BUYER S GRANTEE(S)=APPLICATION.FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL ITEMS Ij' TILE
James C.Liebhart Tamika M.Liebhart JL�
a�-a-w -,1 rs on conveyance document Buyer 2-Name as appears on conveyance document FEB 19 2016
7644 Woodland Drive 7644 Woodland Dr.
Address(Number and Street) Address(Number and Street)
Newburgh, IN 47630 Newburgh, IN 47630
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
Fl ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestea.
residence? Provide complete address of primary I/ rV d. oar Energy Heating/Cooling System
residence,including county: ❑
S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
City, Zip Code caanry ❑ 0 7.Geothermal Energy Heating/Cooling Device
❑ g 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 ❑ Ti 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. ' -. - -- - ••• . ore information.
Not available in all counties.)
Address(Number and Street) a6 • (A - 0 9 -30V - 0001 .a A. -0.1.8
City,State ZIP Code aunty
- s+.,.,ny p•+.p"'q'owner contact name E-mail A /