Homestead_Sulawske INDIANA SALES DISCLOSURE FORM SDF ID: Pape Z
r51,P:REPARER _
CHRISTINA LENFERS CLOSING AGENT
Preparer of the Sales Disclosure Form Title
501 MAIN ST STE 101 BOSSE TITLE CO
Address(Number and Street) Company
EVANSVILLE IN 47708 812-421-4000
City,State,and ZIP Code Telephone Number E-mail
:E:.SEhLER(S)%GRANTOR(S)` �_
___. _ _ . w•
AARON ENTERPRISES INC
Seller 1-Name as appears on conveyance document Seller 2-Name asappears on conveyance document
5701 V...Lejtz RI
Address(Number and Street)
Address(Number and Street)
e"V Win 5-vi ?J Lel11020
_
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complgte.as required-bg law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
/// l�/L
Signature of Seller Signature of Seller
THOMAS K GABF PRFSIDFNT 12/22/2016
Printed Name of Seller Sian Date(MM/DO/YYYY) Printed Name of Seller Sian Date(MM/DD/YYYI)
_F.,BU.YER(S)/GRANTEE(S)-APPLICATION FOR PROPERT.YTAX-DEDUCTIONS ADENTIEY;ALL ITEMS THAT,APPLY _ ___
JODI G. SULAWSKE
llr�r��� , E j
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on convFe icuint
322 E FIRST ST NNNNNN
Address(Number and Street) Address(Number and Street) DEC 2 8
LYNNVILLE IN 47619 2016
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
[ ❑ 1.Will this property be the buyer's primary a 0 3. Homestead
residence? Provide complete address of primary ❑ d 4.Solar Energy Heating/Cooling System
SI� Sresidggce,incl in county: ❑
Gam/ TPh� Wind Power Device
A Na eran sree) ❑ �. Hydroelectric Power Device
��1-� �) 1631 4i ❑ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP de County
111 13/❑ LrJ 2. Does the buyer have a homestead in Indiana to be Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ lam' 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)
016- a 3 -0(l2 -dec - COO 183-609
City,State ZIP Code County
Primary property owner contact name E-mail