Homestead_Guisewite INDIANA SALES DISCLOSURE FORM SDF ID: 1 Page 2
D.PREPARER ,
Christina Ferguson Closing Agent
Preparer of the Sales Disclosure Form Title .
501 Main St.Suite 101 Bosse Title Company •
Address(Number and Street) Company
Evansville, IN 47708 812-421-4000
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTORfS)` C'. '' - '
Kyle A Debord Heather R Debord
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1 353 S• M.dro b nvc.
Address(Number and Street) :dress(Number and Street)
,andZIP
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is time,correct
and comp)3 required by la ,and is prepar d 1 accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
• amre of Seller Signature of Seller
Kyle A Debord 08/11/2016 Heather R Debord '
Printed Name of Seller Sian Date(MM/OO/YYYY) Printed Name of Seller � rein a ( UD/YYYYI
F.BUYERjS/GRANTEELS)'-`APPLICATION,FOR PROPERTY-TAX DEDUCTIONS"IDENTIFY ALL'ITEI H ATPL ', .
,"manda M.Guisewite� - Hope C.Allen pppppp JJJJJJ����i� �....--��
D, -r,.,,ns a5Thinveyance document Buyer 2-Name as appears on conveyance document 1 6' 2016
3584 E. McRoberts Road 3266 Forestdale AUG
Address(Number and Street) Address(Number and Street)
Patoka, IN 47666 Newburgh, IN 47630 atroviriggr-
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION �YjF-_� _w^ rasm,rtnN
CO
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary II 0 oar Energy Heating/Cooling System
residence,including county: ❑ j►J 5.Wind Power Device
Address(Number and Street) ❑ J 6.Hydroelectric Power Device •
❑ 0 7.Geothermal Energy Heating/Cooling Device
' City State ZIP Code County
❑ Q 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 ❑ Fl 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)
01 ' 19 - l8 - 303 • goo. 8 % - 0e6
City,State ZIP Cade County
Primary property owner contort name E-mail
w_: