Homestead_Weisheit INDIANA SALES DISCLOSURE FORM SDF ID: 2016 Page 2
D. PREPARER
Teresa S. Holifield
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812)425-0055 teresa @swinland.com
City,State,and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Bradley A. Pohl
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2305 E 750 S
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct
and co lete as re aired I a is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
Signature of Seller / J Signature of Seller
Bradley A. Pohl 10/31/2016 10/31/2016
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller to '( •! Y)
F. BUYER(S)IGRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITEMS TH ���111"'
L J j I
Matthew K.Weisheit April M.Weisheit
Buyer 1 -Name as appears on conveyance document Buyer 2-Name as appears on conveyance docunN(AV 4_ 2016
602 Tretter Park Dr 602 Tretter Park Dr
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 Fort Branch, IN 47648 �
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
0 ❑ 1. Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary ❑ 0 4. Solar Energy Heating/Cooling System
residence, including county:
❑ 0 5. Wind Power Device
2305E 750 S
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Fort Branch, IN 47648 i Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
City, State ZIP Code County ❑ 0 8. Is this property a residential rental property?
�l`)..P1/ 0 2. Does the buyer have a homestead in Indiana to be ❑ 0 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address f residence being vacated, including county: below. Please see instructions for more information.
( /1 ,/ I n Not available in all counties.)
in (Nu and t) , tit.
Address umber and Street)
-, . ul��� u1 y7c4,u's,/ /O (b9y, (1(0- -al -doe-R . 0(o4- S
City, State ZIP Code County diary property owner contact name E-mail