Homestead_Griffith (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Lynette Murray Processor
Freparer of the Sales Disclosure Form Title
4962 Lincoln Ave First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715 812-490-8485 theteamOfustadvantagetitle.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) ' •
Marshane Bonaparte
='ler W am- p. a•conveyance document Seller 2-Name as appears on conveyance document
i,N • slim 0Od\_
A.•r. (Number and Street) Address(Number and Street)
r- nc Clin■ (4h(0(4h(01-'Q,1 (4h(01- 0
Un I •r pena 'es of peril I hereby certify that this :Ies Disclosure,to the best of my knowledge and belief,is true,correct
ant 11 mph e as requir . ly I and is prep. i in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".iii Thi 1 _
S gna Signature o/Seller
it- I-.I• ;I.-.-/" . 1.
Printed Name o Seller Sion Date MM Dom/ Printed Name a-Seller Sian Date MM DDAmAt
F. BUYER S GRAN TEE S -APP or ATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY A `11i • • jl�:
- - ----
• e as appears on conveyance document Buyer 2-Name as appears on conveyance document
10 N i-6-7 d cSf JUL 2 8 7018
A.�.(Number and Street) Address(Number and Street)
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
Q ❑ 1.Will this property be the buyer's primary ❑ 3. Homestea
residence? Provide complete address of primary '❑ ® 4.Solar l ne eating/Cooling System
reside—pre,includin¢c unty:
=,c 1L 1-(n O. C\` _ ❑ j� S.Wind Power Device N .
. ...ess(Number and Street) V� • ❑ Q 6. Hydroelectric Power Device
(lit % — \. I -4 --Ic\0 1\ _ - F.I ❑ Q 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
❑ Z 2. Does the buyer have a homestead in Indiana to be ❑ $ Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 121 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.Plea • •• . .ctions for more information.
of available in all counties.)
Address(Number and Street)
R6-/2 - 09 -aoa -003•//A -oa 8
City,State ZIP Code County
Prmdcv property owner contact name E- -II