Homestead_Wheaton (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.r`PREPARER •i •
Britany Barnes Agent
Preparer of the Sales Disclosure Form Title
226 W Broadway Broadway Title, Inc.
Address(Number and Street) Company
Princeton, IN 47670 812-386-1687 britanv.bti?mw.twcbc.com
City,State,and ZIP Code Telephone Number Email
.E.SELLER(S)/GRANTOR(S)
Aaron E Wheaton Mary Jo(Grubb)Barnard
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
5220 Eldridge Road 364 Illinois Rte 15
Address(Number and Street) Address(Number and Street)
Terre Haute IN 47802 Albion IL 62806
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and mplete as re •red by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
...Seller fit.,.cam 61,,,,...�..a
Sign re of Seller Signature of 1
Aaron E Wheaton 3 '-y 1 -\ Mary Jo(Grubb)Barnard 3-0)..{.7-0/2
Printed Name ofSeller Sign Date(MM/DD/YYYY) Printed Name of Seller � Date(MM/DD/YYtt)
'F. BUYERS GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY-ALL 7111AT L I
Eric W Wheaton 11L�J uuuuuu
tmyen-Name as appears on conveyance document Buyer 2-Name as appears on conveyance MM l cf(ngt4 2012
1746 Glenmoor Rd lP-1IIICC �Li
Address(Number and Street) Address(Number and Street)
Evansville, IN 47715 444
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 CO ITION
0 ❑ 1.Will this property be the buyer's primary ([ ❑ 3. Homestead
residence? Provide complete address of primary Tr171 4.Solar Energy Heating/Cooling System
residence,including county:
7722 S 450E ❑ 5 S.Wind Power Device
Address(Number and Street) ❑ z 6.Hydroelectric Power Device
Elberfeld, IN 47613 Gibson ❑ IZI 7.Geothermal Energy Heating/Cooling Device
g,State ZIP Code County
❑ 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 ❑ Z 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.
10 id, yG ) �y Not available in all counties.)
TAddr (Num rand Street)+''
frfl/ sv;rt -. It &1 s log 15" VAtre/4fP9A 01ro -02o -0? 3 -lot - 00!. / 33 -poi
City,State ZIP Code lefunty
Primary property owner contact name E-mail