Homestead_Strawcutter •
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
L. MATTHEW NIXON
Prepare.of the Sales Disclosure Form Title
223 WEST STATE STREET FAIR, NIXON&NIXON
Address(Number and Street) Company
PRINCETON,IN 47670 812-385-5233 nixonc evansville.net
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTORIS)
JEFFERY D BURKHART KIMMIF K STRATMAN
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
t 5.5:7- F soon .s ,.)S3 F Zoos
Ad ress(Number and Street) Address(Number and
- Street)
3 r 1 r'nct,^T Tt_w
1/4-1.--t4"-to i i 0. _
.ity,State dZIP Code /,, g City,State,and ZIP Code
0 7 71r7(5)- FC(1 ')ICS Coao�
Telephone A mber E-mail Telephone Number E-mail
F. : _t:-,,__t.a.k ES -APPLICATION FOR PROPERTY TAX DEDUCTIONS-tDENTI INEillarl,VIi, 1
SCOTT A.STRAWCUTTER 1 - -
,r
• ument Buyer 2-Name as appears on conveyance document
-3 r Z∎nerso✓7 S7L*ee7L JUL 21 2017
Addy Number and Street) Address(Number and Street)
/inreTol7i -271) 4174' 70 .,
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION
12- ❑ 1.Will this property be the buyer's primary _l C3' ❑ 3.Homestea
residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling System
50 3 rE rte dencr:,e ing county: 3 4- ❑ ❑ 5.Wind Power Device
,,
,1siress(Number and Street) - ❑ Q 6.Hydroelectric Power Device
i r, n e°�e n i N 7 (0 (7 C) ❑ g 7.Geothermal Energy Heating/Cooling Device
Cite State ZIP Code County
❑ [r 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 ❑ 2 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.
• Not available in all counties.)
Address(Number and Street) I
d6 -/A - e, 7 - Ao ?- 000.904 -cub
City.State ZIP Code County
Primary property owner contact name E-mail