Homestead_Lamb •
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Karen S.Creek Bosse Title Company
Preparer of the Sales Disclosure Form Tide
501 Main Street,Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville,IN 47708 812-421-4000 closina.dept @ieffbosse.cdm
City,State,and ZIP Code Telephone Number E-mail
E.SELLERS)/GRANTOR(S) . . • , _ ;
•
Estate of R Frank Williams
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
loc $7 n1erina,.c. Dr
Address(Number and Street) Address(Number and Street)
MCC to ii...-3 6, Z N q7630
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".
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Signat�Y Selle
Signature of Seller
Marjan W.I aGrange.Personal Ren. 9 • .1 SV20/6 - ', �1
Printed Name of Seller Sign Date(MM/DD/Yrri) Printed Name of Seller ` NV 'et -I/DD/YriY)
F.BUYER S /GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITE THAT APPLY
Joshu. Lamb Rebecca Lamb JUN 9, 9 2n)s
- Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
105 N.Main Street 1e N.M.in S r-e
Address(Number and Street) Address(Number and Street) ,I i, �/ll;i
Fort Branch,IN 47648 Fort Branch,IN 47648 GIRSON COUNTY AUDITOR
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION ar9er—emeiTh3.
0 ❑ 1.Will this property be the buyer's primary Ho
residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
Address(Number and Street) ❑ 6.Hydroelectric Power Device
City,State ZIP Code County ❑ 7.Geothermal Energy Heating/Cooling Device
❑ 2.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 ❑ 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.
•.t rt • I c e•
Address(Number and Street)
d‘ - 18 -13- 904 - Coo. 8iy _ 0 ,i _
City,State TIP Code County
eecitizsayoumer contact name -mail