Homestead_Cardinal INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
IDWREPARERI . - .
Karen S.Creek Closing Agent
Prepare r of the Sales Disclosure Form Tide
501 Main Street.Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville,IN 47708 1312-421-4000 closlno.deot@iefibosse.com
City,State and 21PCode Telephone Number E-md!
IE?SELLER(S)%GRANTOR[S)L -
Brook G Ciaytnn Allison M Ciaytnn
Seller I-Name as appears on conveyance document Seller 2-Nome as appears on conveyance document
it -2nc3 Wcn.2d \ri,tw -Drive. - 3-105 LJt,zcLd Vim 17rive-
, Address(Number and Street) — Address(Number and Street)
�P-oYtio{pWn IN `-( 7(22 Genre e4)t.zr, IN (-(-7122
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 6-1.1-55,"Real Property Sales Disclosure Act".
t.& .
YJ a sage • L�A.d/ ��oat(e .I / Ac f , 16
Signature ofSeller W •A IF Signature ofSeler •
Brooke.Clayton /d• fl ZO/7 *Allison M.Clayton P u� a i.,� 7-ZC/7
Printed Name of Seller - Sign Date iHM/an/rrni - .Printed Name of&Ber-. SWAM/DO/TM)
MN/DO/Yrn)
I FE BUYER(S)/GRANTEE(S)t9APPLICATiO NwO RI P ROPERTYiTAX•DEDUCTIONS-4 iDENTI FYIAEINTEMS,THAr17AP.P1:yrJz7.
Matthew Joseph Cardinal Daisha Nicole Cardinal ion‘, — 9
Buyer I•Name as appears on conveyance document Buyer2-Name as appears on conveyance dojdame,tt I LU 1/
801 E.Vine Street 801 E Vine Street
Address(Number and Street) Address(Number and Street) /1 ,dam
Fort Branch,IN 47648 Fort Branch.IN 47648 niter, ,
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION NO NDITION
EZI ❑ 1.Will this property be the buyer's primary Igl ❑ 3.Homestead
residence? Provide complete address of primary 4.Solar Energy Heating/Cooling System
residence including county:
❑
Q'n 1 P V I t12 � 5.Wind Power Device
addict(N ndStreet) I �� �, p t 1 „EOYM ❑ 6.Hydroelectric Power Device
—cc--SOrn nfth n l 4-g VJ ❑ ® 7,Geothermal Energy Heating/Cooling Device
Clay,State ZIP Code County
❑ It`y' 2.Does the buyer have a homestead in Indiana to be ❑ B.Is 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 informaton
more for information.
below.Please see instructions
including county: f f
Not available in all counties)
Address(Number and Street) (o-I 9 -1 c7 3O, - O 359 ^ �(
Ca.,State ZIP Cade county l `-( rVf ll{. /VY`�1 _J%�Jp
Primary property owner come at name E-mall
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