Homestead_Welch NA SAKES DISCLOSURE FORM SDF ID: Page 2
AREA '
RISTINA LATHAM TITLE CLERK
parer of the Sales Disclosure Form Title
-43 THEATER DRIVE REGIONAL LAND .
dress(Number and Street) Company •
ANSVILLE IN 47715 812-402-4553 NA
ry,State and ZIP Code Telephone Number E-mail
-1 FSIA WFRFR AKA Al FSIA D WFRFR _GRFGORY WFRFR AKA GRFGORY J WEBER
c:-ler)-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
R\esia J weber N //7. s . At:., S-1-
ddress(Number and Street) Address(Number and Street)
5 fti llCl\0 Coaila 4ue KrTh..Ac.•.SO: IL' N Lc76bS
der penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
• d c mplete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property S les Disclosure Act".
ISjgnatare of Seller Signature of Seller 1�1���
FSIA WFRFR AKA Al FSIA O WFRFR I -g 7- IL GREGORY WEBER AKA GREGORY J WFBER/C
Printed Name of Seller Sian Date(MM/DD/YYYYI Printed Name of Seller Sian Date IMM/DD/YYYn
- S GRA ' E S -APPLICATION FOR PROPERTY TAX DED _..'•l.I.o'u rn... -_ ALL ITEMSTHAT.APPLY. - ' -" , '1
W WELCH --- LORI L WELCH - - -
IBuyerI-Name as ap•... on conveyance d�fcumen�q Boxer 2-Name as appears onto nveyance dncament
r Address(Numbe and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
Figi ❑ 1.Will this property be the buyer's primary .J ❑ 3.Homestead
residence? Provide complete address of primary ❑ R 4.Solar Energy Heating/Cooling System
7/� esidence, codin�county: ❑
/ U�GJ1 Lnnce 1 J S.Wind Power Device
ddress(Number and Stint) T ❑ 6.Hydroelectric Power Device
• Vu)PA C L7/, l le, 7 / If?L 1. S (2 1 b6o4 ❑ 7.Geothermal Energy Heating/Cooling Device
' City,State ZIP Code County ❑ LA
❑ N• 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 ❑ 5 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) ab - lo-34 - 900 0 o 3, 6. 3 7 - ox I
GARY W WELCH N/A
City,State ZIP Code County
Primary property owner contact name E-mail