Homestead_Sokeland (2) INDIANA SALES DISCLOSURE FORM SEW ID: Page 2
_ . .
CHRISTINA LENFERS CLOSING AGENT
Pnporer of the Sales Dactoarre Form Title
501 MAIN ST STE 101 BOSSE TITLE CO
Addles(Number and Street) Company
EVANSVILLE IN 47708 812-421-4000
LTry,State,and ZIP Code Telephone Number E-mail
E.rSELLER(S)/GRANTOR(S)r_— . ,_. . .�
THE SECRETARY OF VETERANS AFFAIRS
Seller I-Name as appears en mmryance document Seller Z-Nome as appears an conveyance document
RIO VERMONT AVE NW
Metres(Number and Street) Address(Number and Street)
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 t ''th IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
see s t erA ±AfC a.ada-,riu w-- a. ad
3tanaavet(Sege- - Signature of Seller
'.+rrted Name of Set-ler Sion Date(M.4/DD/YYTY) Primed Name of Seller Sian Date ib01/DD/Y1Y11
iFiBUYER(S)%GRANTEE(S)=APPLICATIONFOR'PROPERTY.TAX.DEDUCTIONS='IDENTIFYALI:ITEMS THAT-'APPLY'-"
EDWARD R.SOKELAND TAMRUN G.SOKELAND
Buyer i-Name asapaean on conveyance document Buyer 1-Name as appears on comryanre document
1417 S JEFFERSON SAME FILED
Address(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 TM THAT
YES NO CONDmON j YES NO CONDITION
[� ❑ 1.Will this property be the buyer's primary [ll ❑ 3. Homalte&N COUNTY AUDITOR
residence? Provide complete address of primary ❑ 4.• Solar Energy Heating/Cooling System
residence,including county:
305 k) 5.• wind ur�L�, ,ji ❑ ind Power Device
Aps5ttIN amhera Srr<e1)t ❑ i j, 6. Hydroelectric Power Device
I Lt' 1C.(� �� �� ❑ [g 7.Geothermal Energy Heating/Cooling Device
Chit to ZIP Code County 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 El 0/ 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including co (( below.Please see instructions for more information.
1 y E'1t'St Not available in all counties)
Address C n(Yl Number' Etr eI) h- 1-1-rI Co 10
City,State ZIP Code County