Homestead_Banister INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
I347-PitEPAkElkz.:ii.M7".1:11-7,1"7'7:2; - -..:.'72...:;--C-J:!:--Ell,....7'l'-':J-Z-C-'17;1-51;--_::t7:•=e,jr:17:.Trtk Y.‘','k.."';7-.;712 r7:::fr"-S C"-.,i::7.7a112:_.
.
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 closinci.dept@ieffbosse.com
City State.and ZIP Code Telephone Number E-mail
,E.SELLER(Si/GlIANTOR(SIEFC L‘,7,11::_:- .)::', ,.:„`f-P ::■707(!771t,;W:t:.:::.:it.
Cheryl? Banister
Seller I-Name as appears on conveyance document Seller 2-Name as appears an conveyance document
k4-\S- Can)\ cic V t I
Address(Number and Street) Address(Number and Street)
eg.% c.c.t-k t n —t- R 414-it
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 IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of 9Plcr Signature of Seller
flheryl I Banister -9- /-a,
Printed Name of Seller Sian Date IMM/Onfirna Printed Name of Seller Sign Date(14M/DD/Yrill
.F:BUYER(S)/GRANTEE(SAPPLICATION!FORPROPERIXTAX4DEDUCTIONSIDENTIFY:
Michael B. Banister
Buyer I-Name as ap2ears cm conveyance document Buyer 2-Name as appears on eya d ti meat
zit ss .....s-frp rnton-±
milas(Number and Street) ____ki 0670 Address(Number and Street) MAR 7. 2016
r inceit n. —I-
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION
ES v YES NO CONDITION
0 1.Will this property be the buyer's primary Et 0 3.Homestead
residence? Provide complete address of primary 0 Er 4.Solar Energy Heating/Cooling System
residence,including county:
0 g 5.Wind Power Device
Address(Number and Street) 0 E/1 6.Hydroelectric Power Device
0 Et 7.Geothermal Energy Heating/Cooling Device
City,State Z P Cade County residential ren i
l prope ?
El tarty
0 2.Does the buyer have a homestead in Indiana to be
gz,11. Is this property
vacated for this residence? If yes,provide 0 a 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)
ka.-02 - 1100-DDIA (1 Cl -00)
City,State ZIP Code County
Primary property owner contact name E-mail