Homestead_Creek (2) INDIANASALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER ` ,
Closing Agent
Preparer of the Sales Disclosure Farm Title
501 Main Street Suite 101 Bosse Title Company
Address(Number and Street) • Company
Evansville,IN 47708 812-421-4000 closing.deot@ieffbosse.com
City,State,and ZIP Code Telephone Number • E-mail
E.SELLER(S)/GRANTOR(S) ,„ .
EdcD.Creek
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
/i/ 2 (E 3sV s
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
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 re uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
rS—)
Signature ofSeller /7 / Signature of Seller
Frir f) Creek R/ y! d C/
Printed Name of Seller - Sips Date(MM/DD/YYYf) Printed Name of eller I. MM/Do/Yrvn)
F.BUYER(SVGRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITE TIA APP
Karen S Creek
ouyer I- rune as appears on conveyance document Buyer 2-Name as appears on conveyance document
205 W.Brummitt Street AUG 2 9 2017
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES .• • ••.•
12 ❑ 1.Will this property be the buyer's primary _ 12 ❑ 3.Homestead
residence? Provide complete address of primary L ILI 4.Solar Energy Heating/Cooling System
residence,including county:
•
205 W Brummitt Street 1I S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ jg 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ jA 2.Does the buyer have a homestead in Indiana to be ❑ 0 B.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ A 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) /
City,State ZIP Code County
a4-27 .. / , - ?-0/- toO . ; 00 -0 .t 1
Primary property owner contact name E-mail