Homestead_Bruce (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
_DPRREPARER -' __ .r x.: v v¢'s :. _ ..I T. _�
CHRISTINA LENFERS CLOSING AGENT
PreParer of the Saks Disclosure Form Title
501 MAIN ST STE 101 BOSSE TITLE CO -
Address(Number and Street) Company
EVANSVILLE IN 47708 (812)421-4000
City,State,and ZIP Code Telephone Number E-mail
:'E SEIILER(S)/GRANTOR(S)r. ' Fr'd� s; .s - : T._ _'"
GREGORY S BRUCF .IFFFRFY A RRUCF
Selle/I- mme9sap on conveance document Seller 2-Nang as appears on coot nap document
43.? 7 IS i J 1135'Y IQ is— iv
Add (N u era dStreet) A s s(N=her and Street)
t G� 2a i i t- `7( &` vLL-t-kj 3.!■1 Lek/62&f
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co plete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
1 ,gnar J&eller Sign reofSe?er
GREGORY S BRUCE 03/09/2016 JEFFREY A BRUCE 03/09/2016
Printed Name of Seller Sian Date IMM/DD/YYYYI Printed Name of Seller Sian Date(MM/DD/YrtTI
flF.:BUYER(S)%GRANTEE(S)`,APEhIGAT10N;E0RIPROPERTY,
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 J4i ,
0 • ❑ 1.Will this property be the buyer's primary 12 ❑ 3.HomestLt'aIBSON COUNTY AUDITOR
residence? Provide complete address of primary ❑ 15 I 4.Solar Energy Heating/Cooling System
4 3& K)K) t clud county: ❑
vs S.Wind Power Device
dress(Number and Street) v� `-/- ❑ Q 6.Hydroelectric Power Device
tTC1zo T l & OUJ &bs�7`-' ❑ Fl 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County IS 111 al Does the buyer have a homestead in Indiana to be ❑ 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)
a—DS— 'is-ô 49 a23DQ -oif
City,State ZIP Code County
Primary property owner contact name E-mail