HomeMy WebLinkAboutHomestead_Hosteller INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 _
(D?P,REPARERC_ i '-- -- - r._ . --. -- - — _ r-- - ' < i
Karen S.Creek - Closing Agent
Prepare,ef the Sala Dtselasure Form ntk
501 Main Street Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville, IN 47708 812-421-4000 closing.depteiellbosse.com
City.Sere,and ZIP Code Telephone Number E-mall
(E!SELLERc5)/GRANTOR(S)t.. . . - . -- - ________ -. ' 't_'7T' t '.T.----7. - - .W i
ff''SS �aypk iruc$t NA as `7rustee for ' CF9 Pta t r P rtici tion Trust
DY ra 11^<'r KRaI tg alp 5s, c i Y!' ,is )cttt.. 2r1 j?�;a1
Sellers-Name as appears on come,once docutsect r" Y Stlfrr2-Na^�e at appear,on mmgnra document W.
Ad ,co a('_latio 1
(inneof� 0� Q g0,-0 Addru(h'vmbaand 5aert)
Under penal ':s of perjury,l hereby certify that this Sales Disclosure,to the best of my knowledge and belief,Is true,correct
and co, , - • re ed by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
JP/
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Slgem r H er.P2ytSC)f Signature of Seller
Au onzeennSStgna(ory 1- 1- ��
Printer orSelkr Sian Date lMM/Da/,Y11 Printed Name of Seller < n Date(MM/DD/fYm)
10 BUYE•(SY/GRANTEE(SgPAPPLICATION FOR'PROP.ERTYLTAX DEDUCTIONS-6_1 DENTIEWAP f SQ'HA'FP ` _d
Matthew D. Hoslettler .���ttL �..-./ kkk i II) ^— —�
Buyer 1-Name at appears on conveyance document Buyer 2-Name as appear on conveyance document
1002 5 Main Sheet JUL 2 4 2017
Address(Number and Street) Addra,(Number and Sweet)
Fort Branch,IN 47648
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS . D ENTRY ALL OF THOSE THAT APP.
YES NO CONDITION YES NO CONDITION
[ ❑ 1.Will this property be the buyer's primary n 3.Homestead
residence? Provide complete address of primary ❑ fl 4.Solar Energy Heating/Cooling System
residence,including county: ❑
Inn?. S,f(\4.x ' S1t 0 S.Wind Power Device
Address(Number and Street) p LL''-�� ❑ 0 6.Hydroelectric Power Device
Y v1(u,Y`G,'1 )N 41,k0 &tlA„ttn ❑ Fl 7.Geothermal Energy Heating/Cooling Device
❑City.StaaatteeltpP Code County
2.Does the buyer have a homestead in Indiana to be ❑ 0 B.Is this property a residential rental property?
vacated for this residence? Ifyes,provide El 0 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)
CIry.State ZIP Code Coenty .
Primary property owner contact name E-mull