Homestead_Moorehead INDIANA SALES DISCLOSURE FORM SDF ID: 2017 Page 2
D. PREPARER
Kathy Masterson Escrow Officer
Preparer of the Sales Disclosure Fomr 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)/GRANTOR(S)
William N.Harris Karen S. Harris
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
12055 5 50 W 12055 S 50 W
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 Haubstadt, IN 47639
Under penalties of perjury, I hereby certify that this Sales Disclosure,\to the best of my knowledge and belief, is true, correct
and complete a re /red by law and i. prepared in accordance with IC 6-1.1- 3, "-eal Property Sal-s Disclosure Act".
Signature of Iler Signature of Seller
William N. Harris 10/30/2017 Karen S. Harris 10/30/2017
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)IGRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITEMS THAT APPLY
Daniel A. Morehead Stephanie M. Morehead
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance d ent
114 d Eileen Nu b 114 d ss Eileen
Nu b St kk
Address(Number and Street) Address(Number and Street)
. Haubstadt, IN 47639 Haubstadt, IN 47639
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTI ALCv :•a SE THLhPPLY.
YES NO CONDITION YES NO CONDITION JJJ°L "Y`
r ❑ 1. Will this property be the buyer s primary ❑ 3. Homestead f residence? Provide complete address of primary q/
residence, including county: ❑ 0 4. Solar Energy Heating/Coo(ing�SOystem
❑ 0 5. Wind Power Device 'P
1255 S 50
(Number and Street) p W
Address(Number ❑ 6. Hydroelectric Power Device
A
!Haubstadt, IN 47639
I Gibson' ❑ 0 7. Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ❑ El 8. Is this property a residential rental property?
9) ❑ 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.
I I 4 1 ' ./� L��C Not available in all counties.)
I ddress(Number and Street) OI,
f�6Q'1ArOST40T /r1 'i? QK (pit bSGI_ Lb,- Z ? 13 . 160 Ono 7403 nay
Qty, State ZIP Code County Primary property owner contact name E-mail