Homestead_Church i
„SALES DISCLOSURE FORM SDF ID
Page 2
,.2PARER?iv:f- N_ - -i °, `:.: c : is 4 - ' s.::_..- .. -. ..i ..
nrri S Hudson Closing Manager
/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(Wieffbosse.com
City,State,and ZIP Code Telephone Number E-mail
{ErSELLER(S)/GRANTOR(S)' i '- _ "...:,:e:: - ._ .r t s: !r .-.f "a.-,3.-c._- - - z 1, . -r _..--
745 . Fe's
Jaunita
M McIntire
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
526 S. C- ihsov■
dress(Number and Street) Address(Number and Street)
rincelof1 , IN 41670
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
anr-(1)complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
'f tl. S�d.tz,.cS- A IF �:>•( jC(LLR..`f�rvt Iht�,.�UV J' . u It °!.. _' •�:.; .�Alf
Signam ter Signature ofSeler
1 2- I-20 16 By Ted R Goddard as Attorney in Fact a-I-201(0
By Penny e f Goddard as Attorney in Fact S{gn Date Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller
'
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY'O(/ 7"),.. �.,.
YES' NO CONDITION YES NO CONDITION ,, F
"u( 1.Will this property be the buyer's primary Er ❑ 3.Homestead ��/TOR
residence? Provide complete address of primary ❑ Fl 4.Solar Energy Heating/Cooling System
residence,including county: ❑ Fl 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
❑ NI 7.Geothermal Energy Heating/Cooling Device
City State ZIP Code County
❑ 111 2'8.Is this property a residential rental property?
2.Does the buyer have homestead in Indiana to be ❑ 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
„_amts -ism - H aTR vk.) ttz ihyrns Not available in all counties.)
Address(Number and S )
City,State ZlPCode County Primary property owner contact name E-mail