Homestead_Harvey (4) •
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
• -D.PREPARER - _.
Kandace Rogers Closer
Preparer of the Sales Disclosure Form Title
3101 N.Green River Road Suite 130 Columbia Title
Addres(Number and Street) Company
Evansville, IN 47715 812-471-8563 kandaceecolumbiatitleciroup.com
City,State,and ZIP Code Telephone Number Email
E.SELLERS)/GRANTOR(S)
Christopher M Marsh
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
403 F Old Petersburg Rd
Address(Number and Street) Address(Number and Street)
Under enalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an mplete s re in y 1 ,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature a Seller _ Signature of Seller
Christnner M Marsh i.
Printed Name of Seiler Sian Date(MM 0a/YYYY) Printed Name of Seller i M/0D/YYYYI
F.BUYER S GRANTEE(S)-APPLICATION FOR PROPERTY TAX.DEDUCTIONS-IDENTIFY ALL ITE T jA j �' -
-D.vid G arv- Shannon R. Harvey
:. - - 'amens appears on conveyance document Buyer 2-Name as appears on conveyance dacptp<atr 2 9 2017
303 West Pinkney Street 303 West Pinknev Street �V V V 2 J
Address(Number and Street) Address(Number and Street)
Princeton. IN 47670 Princeton. IN 4767 . 4
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 Nn cosmos
❑ 1.Will this property be the buyer's primary 'f.--Z ❑ 3.Homestead
residence? Provide complete address of primary ❑ (] 4.Solar Energy Heating/Cooling System
residence,including county: ❑ ❑
S.Wind Power Device
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device
❑ 0 7.Geothermal Energy Heating/Cooling Device
Ciry,,tote lPCode - County
❑ 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 ❑ Z 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.)
Addres(Number and Street)
(/�?4 — la .0 7 -3°3 _o oat. p,o _v d 8
Ciry,State ZIP Code County
Primary property owner contort name E-mail