Homestead_Songer It
7.
Page 2
INDIANA SALES DISCLOSURE FORM SDF ID: _ _ _ - - -
CHRISTINA LATHAM TITLE CLERK
I Preparer of the Sales Disclosure Form Title
4703 THEATER DRIVE REGIONAL LAND TITL
Company
Address(Number and Street)
EVANSVILLE,IN 47715 812-402-4553 S215ArrGIONAL-LT.COM
Telephone Number E-mail
city, and ZIP
j\.F��state of Pearl ouise White
GIBBON COUNTY
AUDITOR
Seller]- alas appears on conveyance lcum _ Seller 2-Name as conveyance document
c, -I 5o 3 I j
• CAdres(N her and Sheet)+
Address(Number and Street)
k 00 c isc-o V
CTelephone Number
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co ifte as requi ed by la{y,and prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
S 11 G^Ji
I Signature of Seller
2StgnamrebfShcer� Q
Mary White 1 1- j� SmnDa[¢(M.N/DD/YYYYI
Printed Name of Seller �C,AomDate(MM/DD/rrr sl) Printed Name of Seller
'F:.BUYER(S)/.G ANT,EE(S)_AP,PEICATION R PROPERTY TAX-.DEDUCTIONS IDENTIFyiALL'ITEMSTHAT Al l
Rov D-Sonaer Pe•gv L.Songer
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
E-)cLiMSt X 09 E, WohpS*.
51d01- (h'umb¢rand Street) XA�d_r Numben\r---(e¢L] T i 97 70■
CE SALE DISCLOSU
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPE � . IDENTIFY ALL OF THOSE THAT APPLY.
'—NO—CONDITION I sYES �N0_CONDITION 1.Will this property be the buyer's primary ❑ 3. d
residence? Provide complete address of primary ❑ is 4.Solar Energy Heating/Cooling System
residence,including county: ❑ fil 5.Wind Power Device
809 E Water St ❑ Q 6.Hydroelectric Power Device
Princeton., IN 47670 ) ❑ p
Princeton. IN 47670 Gibson 7.Geothermal Energy Heating/Cooling Device
City,State Zl Code County ❑ 1tJ P P
51 8.1s this property a residential rental property?
e
❑ 2.Does the buyer have residence?homestead in Indiana to be ❑ 9.Would you like to receive tax statements for this
comple ear dres ofsie cybengvaca property via e-mail?(Provide contact informadon
complete address of residence being vacated, below.Please see instructions for more informadon.
including county: Not available in all counties.) ,a,
Address(Number and Street) �/ —1 el /l-�1 - '-ft -OD3 1 is i —on
t9 l d �) 1 �I V - I
Ciry,State ZlPlade County Primary property owner contact name E-mail
-
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
CHRISTINA LATHAM TITLE CLERK
Preparer of the Sales Disclosure Form Title
4703 THEATER DRIVE REGIONAL LAND TITLE
Address(Number and Street) Company
EVANSVILLE, IN 47715 812-402-4553 CHRISTINAeREGIONAL-LT.COM
City,State and ZIP Code Telephone Number E-mail
.Er;SELLER S GRANTORS - - - --• • - - --- .__ _ _ _
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
Address(Number and Street) Address(Number and Street)
City,State and ZIP Code City,State,and ZIP Code
Telephone Number Email 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
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYYp
F,.BU,YER(S)/6RANTEE(S) APPLICATION:F.ORPROPERTY-TAX+DEDUCTIONS`-IDENTIFY ALL ITEMS-THAVAPPEY . _ _
Hubert D.Songer. Jr.
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
O9 Q ✓ }r .fn 0-1 S4-
ddress(Num an Street) Address(Number and Street)
pi
r It/—�I G ;-to=n /N /47(12-7
CigCStaB'annd ZIPoder. I City,State and ZIP Code
crelee7loilRumber E-mail Telephone Number Email
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YESr=NO�CONDITION-- YES NO CONDITION
LIE ❑ 1.Will this property be the buyer's primary [/ ❑ 3. Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑ i t
809 E Water St. S.N nd Power Device
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ IN 7.Geothermal Energy Heating/Cooling Device
Ciry,State ZIPCode County
❑ iii/2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 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)
City,State ZIP Code County
Primary property owner contact name E-mail