Homestead_Pullman INDIANA SALES DISCLOSURE FORM SDF ID: 2017 _ Page 2
D. PREPARER
Kathy Masterson Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812)425-0055 kathy @swinland.com
City,Stale,and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Charles Waymand Sandefur Melody Dawn Sandefur
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1323 S. 50 E. 1323 S. 50 E.
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales DisclosunAct".
Signature of Seller Signature f Selle
Charles Waymand Sandefur 477/2017 Melody Da n Sandefur 4/7/2017
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Douglas W. Pullman
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on tg9c;t @yance document
2550 es E.Top Hat Road irt�
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPES/851.• "'•L7 ; '.F TH•SE THAT APPLY.
YES NO CONDITION YES NO CONDITION N COON) jr
❑ 1. Will this property be the buyer's primary ❑ 3. Homestead yAUOjT
residence? Provide complete address of primary ❑ 0 4. Solar Energy Heating/Coolingstem
residence,including county:
2550 E Top Hat Road ❑ 0 5. Wind Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Princeton, IN 47670 I Gibson ❑ ❑ 7. Geothermal Energy Heating/Cooling Device
City, State ZIP Code ' ' - County ❑ 0 8. Is this property a residential rental property?
❑ "v 2. Does the buyer have a homestead in Indiana to be ❑ 0 9. Would you like to receive tax statements for this
vacated for this residence? If yes,provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
? -is 451-/Or COO SO/
City,State ZIP Code County Primary property owner contact name 7
E-mail