Homestead_Phillips (12) 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,State,and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Kenny Hedges Phillip Hedges
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
234 W Cherry St 234 W Cherry St
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660 Oakland City, IN 47660
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, ' ea iroperty les Disclosure Act".
0/ �! % /�
gnat -rges� 7,.a Sig Here of Seller / 0 --- /
Kenny �.ges )0 /v Phillip Hedges J
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
Carol R. Phillips
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveya document
9900 PI
� E
Address ss(Number ber er and Street) Address(Number and Street)
Owensville, IN 47665
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDEEYA SAP=LY.
YES NO CONDITION YES NO CONDITION BSON r
p ❑ 1 resll this pr Provide the
co plete address of primary ❑ 3. Homestead OJN?yAUDtTO/;
residence, including county: ❑ 4. Solar Energy Heating/Cooling System
234 W Cherry St. ❑ '61 5. Wind Power Device
Address(Number and Street) ❑ 6. Hydroelectric Power Device
Oakland City, IN 47660 I Gibson ❑ 7. Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ❑ 8. Is this property a residential rental property?
❑ l 2. Does the buyer have a homestead in Indiana to be ❑ 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)
Z6-fy/S -ioei arc /36 o07
City, State ZIP Code County Primary property owner contact name E-mail