Homestead_Short •
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INDIANA SALES DISCLOSURE FORM SDF ID: _ Pag
D..P,REPARER1_- —_ — --
— - -----
Karen S.Creek Closing Agent
Preparer of the Sales Disclosure Form Title
501 Main Street,Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville, IN 47708 812-421-4000 closing.dept @ieffbosse.com
City,State,and ZIP Code Telephone Number E-mail
_E:.SEfLER(S)%GRANTOR(S);-- u — -- ----- - --.----- - . --- _.
David M Koester and I inda M Kuester Rev I iv Trust David M Kuester and I inda M Koester Rev 1 iv Trust
XSeller I-Name as appears on conveyance document Seller?-Name as appears on to veyance document
Ua,.,c/ M, (CyCSTer X kJ aria hi ,. )ES / 2Lr
x Address(Number and Street) .„ Address(Number and Street)
4gt$ 5, 5R /C Q8.,7b1 6'
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
andsd c�Lomplete�as required by law,and is prepared in accordance with IC 6-1.1-5.5,""R/eal Property Sales Disclosure Act".
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Signature of Seller Signature of Seller
David M Koester.Trustee 27 oGT 2o/ ) Linda M Kuester Trustee
Printed Name of Seller Sign Date(MN/DO/VITY'1 Printed Name of Seller Sian Date(MM/DD/YYYY)
,F,.BUYER(S)/GRANTEEM ID 1HHLiCATIOMF.OR,PROPERTY1311)WEDUCT1ONSDDENTIE ACM'EMS THka—i.Y
Timothy R.Short Andrea L.Short �)
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
4205 E.350 South 4205 E.350 South
Address(Number and Street) Address(Number and Street) C, ,p, ��
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THATAR,P
YES NO CONDm0N YES NO CONDITION • 1/i
ra ❑ 1.Will this property be the buyer's primary ® ❑ 3.Homestead OTO
residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Coolin System
residence,including county: ❑
S.Wind Power Device
Address(Number and Street) ❑ 6.Hydroelectric Power Device
nClry,State DP Code County ❑ 7.Geothermal Energy Heating/Gaoling Device
LJJ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.1s this property a residential rental property?
vacated for this residence? If yes,provide ❑ 9.Would you like to receive tax statements for this
complete address of residence being vacated, property-via e-mail?.(Provide contact information-
includingApounty: C ! below.Please see instructions for more information.
• gal SOii/h i' Joe SSlcee - Not available in oil counties.)
Addr s(NumberandStreet) J�L�
rfn/Won , ZAI 117610 Z (a- ja 35 - w' Q0l • 7q3 -
Ciry.State ZIP Code County
Primary property owner contact name E-mail