Homestead_McClellan (3) •
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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
City,State,and ZIP Code Telephone Number
P E-mail
[E:SELLER(S)/GRANT.OR(S) _ ___...—,_,— —_ -T -- _. ----..
Lankford Properties I I C
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
C 56� E 4/001.)
,Address(Number and Street) Address(Number and Street)
POY-
Under penalties of perjury,I hereby ify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complet require y law, is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
•
(qn f5 /� 'F 1 /15/1 Signature of Seller
�a
Printed Name of Seller Sian Date(MM/DO/YYY1') Printed Name of Seller Sin a (M.N/DD/YIYY)
IF.BUYERfS)%GRANTEE(S)'_ -PPLICATIONN,F6RPROPERTY_TAXCDEDUGTIONS=IDENTIFY.ALL'IT`�[A�T A APB '7_ - 7-__:—.,_
James P.McClellan g ii
Buyer I-Name as appears on conveyance document
Buyer 2-Name as appears on conveyance document
828 S. Race DEC 2 1 2016
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 ��
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY IDENTIFY ALL OF THOSF T.. TA
YES NO CONDITION ES NO CONDITION
F ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead _
residence? Provide complete address of primary Fl 4.Solar Energy Heating/Cooling System
residence,including county: ❑ 151 5.Wind Power Device
826 S Race
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 1e, 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ NI 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 1l 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) d
(c),_/d,-/g a2 thcoa_ow-0,2
City,State ZIP Cade County
Primary property owner contact name E-mail