Homestead_Cooper INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Brian K.Mahoney Attorney
Preparer of the Sales Disclosure Form Title
822 Main Street,P.O. Box 176 Mahoney Law Office
Address(Number and Street) Company
Petersburg, IN 47567 812 354 8121 mahonevlaw(Wnwcable.net
City,State,and ZIP Code Telephone Number E-mail
Darrell R Satterfield Bonnie R Satterfield
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
511455t Rd 61 9114SSt Rd 61
Address(Number and Street) Address(Number and Street)
Under penalties of perjury,t hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete a 'quiredil .w,and is prepared in accordance with IC 6-1.1-5.5,"Re 1 Pr•pe Sales Disclosure Act".
.
-, - f
Signature of Seller Signature of Seller
Darrell R Satterfield 2/7-/7 Bennie R Satterfield . /r7
Printed Name of Seller Sian Date(MIA/DO/YYY1) Printed Name of Seller Sj� (MM/DDYYYY)
_FlEtUYERISVGRANTEE(S),=APPLI CATION:FOR,PROPERTYTAX-DEDUCTIONS7IDENTIFYALLI ! • .
- _
Ian conveyance document Buyer 2-Name as appears on conveyance-Mat22 2017
704 W School Street
Address(Number and Street) Address(Number and Street) f�/ ��
Francisco, IN 47649
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 di CONDITION
IN ❑ 1.Will this property be the buyer's primary 151 ❑ 3. Homestea.
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
704 W School Street 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Francisco, IN 47649 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ Fl 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 ❑ Fl 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)
ale. -/3 -/9- 0tof - 000 . /O7 -oo s
Clry,State ZIP Code County
Primary property owner contact name E-mail