Homestead_McGrew INDIANA SALES DISCLOSURE FORM SDF ID: 2017 Page 2
D. PREPARER
Teresa S. Holifield 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 teresa @swinland.com
City,State,and ZIP Code Telephone Number E-mail
E. SELLER(S)I GRANTOR(S)
Sean Looman
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1124 Woodcrest Avenue
Address(Number and Street) Address(Number and Street)
Inverness, FL 34453
Under penalties of perju ', I ' -reby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as require. •y la ,- - is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act...
�_t
t\—__SjgnaturaoL,S&ler_. Signature of Seller
Sean Looman
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller I�pDate MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL IT S H T A
Kyler McGrew ") Jennifer Kiesel
(Kyler
r -Naas as appears on conveyance document Buyer 2-Name as appears on conveya ojursertt L 017
11366 Brookview Court . 11366 Brookview Court
'Address.(Number and Street)- - Address(Number and Street)
Haubstadt, IN 47639 Haubstadt, IN 47639
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YE ' - -0 1. Will this property be the buyers primary `� ❑ 3. Homestead--)
residence? Provide complete address of primary ❑ , 4. Solar Energy Heating/Cooling System
residence, including county:
❑ 1 5. Wind Power Device
7865 S 45 E
Address(Number and Street) ❑ '1 6. Hydroelectric Power Device
Fort Branch, IN 47648 1 Gibson ❑ •q 7. Geothermal Energy Heating/Cooling Device
City, State IP Code County ❑ - 8. Is this property a residential rental property?
❑ 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 ./q1 2 • Ao Y -,von. 3o ? -o x
City, State ZIP Code County Primary property owner contact name E-mail