Homestead_Hunter (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:PREPAREWT:Cf47. ,4"1-7:1VLF-1, . --.+C?:.Y;-- .7-'::::::.:;::-Z.V±•':3''' ''. :-'-:7-:.1..T-..; "'"-:=7 ' r.t- .7::7 ti:.:)1-7:',T7C7?-. ?,:-:7;_tfi. I'--,47.7-r.
CHRISTINA LATHAM TITLE CLERK
Preparer of the Sales Disclosure Form Title
4703 THEATER DRIVE REGIONAL LAND TITLE
Address(Number and Street) Company
EVANSVILLE, IN 47715 812-402-4553 CHRISTINN®IONAL-LT.COM
City,State,and ZIP Code Telephone Number E-mail
jEliErif S)/GRANTOR(S)127":''7. -`. ;k1t1"..*S727.-:-S•177"lec,1,-.1:',;'...41:::71-;', '.71i43:7-2."',r'kt?.r:.-7,7n.:2.7.;,■;:tn;":::::".:7_4721-4C,i:24::-',:,
Home Smith Homes I LC
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
/972 a- 77077-jt,„/ /R0
en(Number and Street) Address(Number and Street)
Kie,„-c Con...I ;LA../ C-7/7670
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
atyr ye omplete as required by I ,aQø is prepared in accordance with IC 6-1.1-5.5,'teal Property Sales Disclosure Act".
Sig..ature of Seller Signature of Seller
t L a*1 "MS‘11.1."! C%f h 1 SV\A tiv . .,i.- .,7 5-0.--'7--/6
Prince .ame ofSeller Sian Date(M31/0D/PM Printed Name of Seller Sian Date 1101/DD/YM1
LA UYER(SVGRANTEEW:5:APPLICATION FOR:-PROPERTY,TAX DEDUCTIONSIIJENTI FY•
IIlVM .tHAgIP
Clayton S. Hunter
Buyer I-Name as appears on conveyance document Buyer Z-Name as appears a nve• ..
slis-13 t454
Oddress(Number and Street) Address(Number and Street) JUN 6 1016
tierev* 171)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
93 n 1.Will this property be the buyer's primary El 0 3.Homestead
residence? Provide complete address of primary n ig 4.Solar Energy Heating/Cooling System
residence, including county:
0 ig S.Wind Power Device
1418 R Taftown Rd
Address(Number and Street) n gi 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson n al 7.Geothermal Energy Heating/Cooling Device
City,State Z IP Code County
0 NI
0 03- 2. Does the buyer have a homestead in Indiana to be B.Is this property a residential rental property?
vacated for this residence? If yes,provide 0 gi 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)
dco- la-05- L100- DO 9 i 6 3.5-N2
City.State ZIP Code County
Primary property owner contact name E-mail