Homestead_Parks (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Karen S.Creek Closing Anent
Preparer of the Sales Disclosure Form Title
501 Main Street Suite 101 Bosse Title Comoanv
Address(Number and Street) Company
Evansville, IN 47708 812-421-4000 closinq.dept@ieffbosse.com
City,State,and LP Code Telephone Number E-mail
.s E,,SELLER(S)/GRANTOKSY;..:__L_., _:._: 7,,....:,...: _ -- - ,fr2,,___,-,,,Is•-• _, •, :..„_-_,,,•,.._ •i. ; 1-.., ', . ' 7 i.„; -.`. --,',,__-_- tr..---..■
Wayne E Day
Seller I-Name asfrjecirs owveyance document 2-Name as appears on conveyance document
- 6 /c UtAnt
_ Addresi(Number and Street) Address Address(Number and Street)
Ul I Wan
$ Li 7 e ti)---
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 o _eller 4 Signature of Seller
Wayne F.Day 7/Weir?
Printed Name of Seller Sian Date isiSi/on/YYYSI Printed Name of Seller Sian Date 1.101/DDA117)
:T,E.13UYEKSVGRANTEE(S);;APPLICATIONWORPROPERTY.ITAWEDUCTIONS.311DENTIFV.TADITEMSiTHAT-ARP.bYf.
Jerry T. Parks
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyancFulL ED
118 E.Olive Street
Address(Number and Street) Address(Number and Street)
- Princeton,IN 47670 AUG 4 2017
'
,
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF TH&Sre. 4••
b 0 s UNTY AUDITOR
YES NO CONDITION YES NO CONDITION
151 p 1.Will this property be the buyer's primary IS 0 3.Homestead
residence? Provide complete address of primary p igi 4.Solar Energy Heating/Cooling System
residence,including county:
0 N 5.Wind Power Device
118 E Olive Drive
Address(Number and Street) ill 151 6.Hydroelectric Power Device
Princeton,IN 47670 Gibson 0 151 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 si a residential rental property?
0 IA 2.Does the buyer have a homestead in Indiana to be 8.Is this property
vacated for this residence? If yes,provide 0 ig 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)
c96-Q-18-Y03 -co LSI CI-00 S'
City,State ZIP Code County
Primary property owner contact name E-mail