Homestead_Rudolph INDIANA SALES DISCLOSURE FORM SDF ID: 2017 Page 2
D. PREPARER
_Teresa S. Holifield
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 teresa @swinland.com
City, State,and ZIP Code Telephone Number E-mail
E. SELLER(S)I GRANTOR(S)
Alex D. Baker Jennifer D. Baker
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1107 S Red Bud Lane 1107 S Red Bud Lane
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639
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 D' closure Act".
Signature of Seller Si fi-lure of`.ller
Alex D. Baker Je Ifer D. Baker
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
Nathan E. Rudolph Michelle H. Rudolph
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance do a,t S A
1266 E. Degonia Road 1266 E. Degonia Road
Address(Number and Street) Address(Number and Street)
Boonville, IN 47601 Boonville, IN 47601 41'Q)'
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF T' • kr---
y , •
YES NO CONDITION YES NO CONDITION Ayr^
AZ( ❑ 1. Will this property be the buyers primary ❑ 3. Homestead
on.
residence? Provide complete address of primary ❑ R 4, Solar Energy Heating/Cooling System
residence, including county:
11070 S Redbud Lane ❑ St 5. Wind Power Device
Address(Number and Street) ❑ 6. Hydroelectric Power Device
'Haubstadt, IN 47639 I Gibson. ❑ e' 7. Geothermal Energy Heating/Cooling Device
I iy, State ZIP Code County ❑ Qd 8. Is this property a residential rental property?
0 2. Does the buyer have a homestead in Indiana to be ❑ ty 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.
/' (`d Not available in all counties.)
dress(Number a Street)
Ville_ 7 7(001 (,Vl rurl{ - �g-013 -/7-g00-OooI. Oaa3-Oa
City, State ZIP Code(� County Primary property owner contact name E-mail