Homestead_Wolak 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)I GRANTOR(S)
Wells Fargo Bank, N.A.
Seller 1 -Name as appears on conveyance document Seller 2-Name as appears on conveyance document
8480 Stagecoach Circle
Address(Number and Street) Address(Number and Street)
Frederick, MD 21701
City, State,and ZIP Code City, State,and ZIP Code
Telephone Number E-mail Telephone Number E-mail
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 Disclosure Act".
Signature of Seller Signature of Seller
Teresa Rodriguez,
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
Sean Martin Wolak
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyan otu It
1414 Main St .
Address(Number and Street) Address(Number and Street)
4 U(j
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL'Or V ai "- • -• Y.
Na) ❑ 1. Will this property be the buyer's primary Y� ❑NO CONDITION
3. Homestead Yq//�/TOR
residence? Provide complete address of primary o -tra. Solar Energy Heating/Cooling System
residence,including county:
❑ 5. Wind Power Device
703 Tower Rd. ❑ 0—6. Hydroelectric Power Device
Address dress(Number and Street) Y
!Owensville, IN 47665 j Gibson' ❑ la' 7. Geothermal Energy Heating/Cooling Device
City, State ZIP Code County ❑ 13 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.
ICHLE 11t\n- St---- Not available in all counties.)
Address(Number and Street)
1/00---6147 NG� frN( FfT '4h 24-18- 06303 oco 38.0 O Q
City, State ZIP Code County Primary property owner contact name E-mail