Homestead_McGowan INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
.D?P R E P A R E R C =—: : _ - - - —. - . -J� .. -- --_.t , t_. -- -.
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 CHRISTINA(@REGIONAL-LT.COM
City,State,and ZIP Code Telephone Number E-mail
It SSLLER(S)/,GRANTOR(S). ; • F T 777:: _ .T..7—`_T--rr 77.1777—.7. - - .5.,-
Bonnie J Baumgartner
r/l Ier.I_,: 'ame as appearson conveyance document, Seller 2-Name as appears on conveyance document
L 7 f'm' _G_._S.k.aLToN2
Address(Number and Street)- Address(Number and Street)
Under penalties of perjury, 1 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".
`�4_naVltr _ _ - .
Signature of Sella ' / Signature of Seller
Bonnie J Baumgartner Eq//5
Printed Name of Seller Sig Date(NM/DD/YYYt1 Printed Name of Seller n Date(NM/DD/YYYn`
KBUYER(SV GRANTEE(S)EAPP,CICATION;FORIP,ROB,HRTtYLTAXiDEDUCTIONSS IDENTIEWA ° - S,l'HA
Doyle Dean McGowan
Bu esj Name as appears an conveyance document Buyer 2-Name as appears on conveyance document
_°/114:024 7.4) 1l S ( o a.) 51 SEP 1 9 2016
dress(Number and Street Address(Number and Street)
i
ai -ICly v_ �(
THE SAL ISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. DENTIFY ALL OF THOSE THAT APPLY.
{YES- -NO CONDITION LYES ..NO "-"DITION
❑ 1.Will this property be the buyer's primary 0 3.Homestead
residence? Provide complete address of primary ❑ 12 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
7180 S Division St
Address(Number and Street) ❑ is 6.Hydroelectric Power Device
Oakland City, IN 47660 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ ❑ 2.Does the buyer have a homestead in Indiana to be Li is 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ N 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) rsc— d O I q_3 6 I - OO, 053 -
City,State ZIP Code County �`(f
Primary pro perry owner contact name E-mail
-_.' -. CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
•- --: STANDARD I SUPPLEMENTAL DEDUCTION FORM
State Form 573(81515-14)Department HC10
Prescribed by the Department of Loral Government Finance
INSTRUCTIONS:See reverse side for filing instructions. f ��1ps{1.-.��.�' i
NOTE Telephone,Social Security,driver's license,state identification and federal identification numbers are confidential under IC 6-1.1-12-37 1 ( [� )��-
'�' r^•:' ..• •-_CERTIFICA_TION STATEMENT.'..: ' dam' .- - r-=�-t-s +B�.'f.
I Me) /Fag/- S it certify that I(we)occupied as my(our)pri p�
place of residen.:(.ram(are)buying the following described real property under contract for which a Homestead Property Tax SW EA . '7 2O'C
Deduction is hereby claimed on the date this application is signed, (date of signature). I(Vigo): U
Own. ❑ Am(are)buying under recorded contract g
Am(are)entitled to occupy as a tenant-stockholder of a cooperative housing corporation. Gt tliWi
❑ Have a beneficial interest in the trust or the right to occupy the property under the terms of a qualified personal r stiaaTttW tCO(f
❑ Am(are)the shareholder, partner, or member of the entity that owns the property. Tv AUDITOR
+>.
If buying on comae Fee s'unpb cornets name
Recorders o5ce where contract's recorded • Record number Page
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