Homestead_Beatty (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Dt PREPARER?
Daniel A.Moon Attorney
Preparer of the Sales Disclosure Form .. Tide- '
116 S. Main St. Daniel Moon Law Office, LLC
Address(Number and Street) Company
Princeton,IN 47670 812-385-1843 danielmoonlaw @gmail.com
City,State,and ZIP Code Telephone Number E-mail
E.SELEER(S)/,6RANTOR(S)`L _ --- : -
Horizon Property Holdings,LLC
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
5101 Kleitz Road
Address(Number and Street) Address(Number and Street)
Evansville, IN 47720
Under p nalties of perjury,I h eby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co plete as r Ir b 1 w,and ' pr aced in accordance with IC 6-1.1-5.S,"Real Property Sales Disclosure Act".
/--- .•
,gnature ofSeller Signature of Seller
David F.Greubel 3 -/ -,240/q -
Printed Name ofSeller Sign Date(MM/DD/YYYY) Printed Name of Seller n Date{MM/DO/YYYF)
:.F.BUYSR[S)%GRANTEE(S) APFISICATIONrFOR l?ROPERTY-TA}C DEDUCTIONS IDENTIFY-Al E S HA P — _,__ _ _._
Larry Beatty
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
536 W. State Road 68 SEP 14 2011
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
IZi ❑ 1.Will this property be the buyer's primary 171 ❑ 3.Homestead
residence? Provide complete address of primary ❑ : 2 4.Solar Energy Heating/Cooling System
residence,including county: ❑
609 S.9th Ave. 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Haubstadt, IN 47639
❑ I7J 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 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 ❑ 171 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.
536 W.State Road 68 Not available in all counties.)
Address(Number and Street) /� r-� �t7
Haubstadt, IN 47639 Gibson ,�// -33•./�6k, Do_ 5,6-Obat
City,State ZIP Cade County (JLV (.e v Vl/
Primary property owner contact name E-mail