Homestead_Runyan INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
=D;PREPARER>-
Karen S.Creek Closing Agent
Preparer of the Sales Disclosure Form Title
501 Main Street.Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville, IN 47708 812-421-4000 closinq.dept @jeffbosse.com
City,State,and ZIP Code Telephone Number E-mail
Er SELCER(S)/GRANTOR(S) : -_ _-- _-.. . - .. - _ - -
Adam !) Stocker Melissa A Stocker
Seller I-Name as appears on env nce document Seller 2-Name as appears on conveyance document
/Vd,0 al ,c6�'>e "& /' IY° w Rabb;{ 1Vun
` Address yumber and Street) `Address(Number and Street)
fJ74 Y>ifs ikui'stadt FR I-110 39
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete�l 'red :y law,and is prepared in accordance wit ty�p 6;1.1.5.$,"yttalp/t•operty Sales Disclosure Act".
• • /Yl.(,Xj�DTV/ 1p�lF�((lr
f Sell
Signature o
g Signature of Seller
Adam D Stocker 10/24/2016 Melissa A Stocker 10/24/2016
Printed Name of Seller Sian Date(N.M/DD/MYY) Printed Name of Seller Sian Date(M.M/DD/Y rY)
F:BUYER(S)/GRANTEE(S)-APPLICATION-FOR PROPERTY TAX DEDUCTIONS_IDENTIFY ALL ITEMS-THAT APPLY' c' ` .
Kyle T. Runyan Adrienne M. Runyan
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears an conveyance document
1460 W. Rabbit Run 1460 W. Rabbit Run :k1
Address(Number and Street) Address(Number and Street) A� f
THE NOOISCL1OONDITICb 511 property B USEUbTe the buyer's FOR
5RTDEDUCTIONS FOR THIS ES°PER N IDENTIFY
Homestead
residence? THOSE THAT AOP VLTF.'�UNTV'1
12 ❑ Y primary 19 111
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑ IN
1460 W Rabbit Run 5.Wind Power Device
Address(Number and Street) ❑ SI 6.Hydroelectric Power Device
Haubstadt, IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ NI 2.Does the buyer have a homestead in Indiana to be E] 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 12 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) KM —If do- - Ceti /■5.-- 102 V
City,State ZIP Code County
Primary property owner contact name E-mail