Homestead_Bacon INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
L D:PREPARER -
Allie Alexander Processor
Preparer of the Soles Disclosure Form Title
4962 Lincoln Avenue First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715 (812)490-8485
City,State,and 7JP Code Telephone Number E-mail
_E:SELLER(5)%GRANT ORS) " C _ fi i 4:
Chad E Wallis Ashlee N Wallis
Seller J�Nameat appsars oge'anv ce document a 2-Name as ap earson conveyance document
JO //VV\\ LIB.\ c , :SctiJ ` `
d'ess(Number and StS L (� Address(Number and Street)
l
Uncle, t •naltiey of p•rjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and '�� plete s re r WI; d by I I.\ ' nd is prepared in accordance with I 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature o Seller / K'
f \ I Signature of Seller 1 ` E�
Chad E Wallis t ` k ii Ashlee N Wallis 11 L ,�. 1
Printed Name,e Si n Dote M../DOp)T) Printed Name a Seller Sian Dale(14M/DD/1
.F E. ..ridt1ST d:atiiiia APPLICATION FOR PROPERTY TAX DEDUCTION - -!_ LTIFY-ALL ITEMS THAT,APPLY_ • - _
Donald K. Bacon
Cu er -Name• a• • s on conveyan document •• .e a onveyance document !
ress(Number 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 APPP&
YES NO CONDITION 0 cauomo, c0 1 <.:'"
g— ❑ 1.Will this property be the buyer's primary ( ❑ 3. Homestead
�TY���'�
residence? Provide complete address of prima - 24-11---.--7 Ni �-
den a indu m coun • " nergy Heating/Cooling Systt�r
1 O� :� � � (� �9 m JCL
❑ 12 S.Wind Power Device O
la
d..ess(Numbe on•Stn.t 1 C ❑ 0 6.Hydroelectric Power Device
„ Ake. - 1� 't 1 MI nl❑ ❑ 7.Geothermal Energy Heating/Cooling Device
• .Stole Z/P Code County
❑ ❑ 2. Does the buyer have a homestead in Indiana to he ❑ 8 Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 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 ' all counties.)
Address(Number and Street) '/
o lfNI‘— De- ow 27-6O9
City,State ZIP Cade County
Primary property owner contact name E-mail