Homestead_Phares INDIANA SALES DISCLOSURE FORM SDF ID: 2017 Page
D. PREPARER
Teresa S. Holifield Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812) 425-0055 teresa @swinland.com
City, State,and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Jay M. Foster Amy J. Foster
Seller 1 -Name as appears on conveyance document Seller 2-Name as appears on conveyance document
403 E Strain ST 403 E Strain ST
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 Fort Branch, IN 47648
Under penalties of •erju g I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true,correct
and complet- _■-quir-C by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
I StEe'% , ) t_>14
ignat re of Seller Signature eller
ay M.Foster 12/6/2017 Amy J. Foster 12/6/2017
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITEMS THAT APPLY
Robert Phares •14 ' &. • a / ,t!. At r _1Jb�l WA-1‘.1?-
Buyer 1-Name as appears on conveyance document B e -Name as appears on conve gt do;u ;nt
6890 Tara Lane • .
Address(Number and Street) Address(Number and Street) -_ 'III'
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY VIR Ems' .-f PPLY.
YES NO CONDITION I YES NO CONDITION UDITOR
0 Cl 1. Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary ❑ 0 4. Solar Energy Heating/Cooling System
residence, including county:
El 0 5. Wind Power Device
404 E Poplar Si. ❑ 0 6. Hydroelectric Power Device
Address(Number and Street)
Fort Branch, IN 47648 Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
• City, State ZIP Code County ❑ El 8. Is this property a residential rental property?
. ❑ 2. Does the buyer have a homestead in Indiana to be ❑ El 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.
Not available in all counties.)
i Address(Number and Street) CQG-1q -yq - 101 -X1- 383 &'
City, State ZIP Code County Primary property owner contact name E-mail
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