Homestead_Deisher INDIANA SALES DISCLOSURE FORM SDF ID: 2017 Page 2
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)
RJG Properties, LLC
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
10531 N 775 E
Address(Number and Street) Address(Number and Street)
Odon, IN 47562
Under pen !ties of perjury, I hereby ify that this Sales Disclosure, to the best of my knowledge and belief, is true,correct
and cote a req red b law, d s prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Richard Lee Graber, Managing Member 11/30/2017 11/30/2017
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 A Y
•
TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THATA 431
Y NO CONDITION
F YES NO CONDITION TAR
❑ 1. Will this property be the buyer's primary K ❑ 3. Homestead
residence? Provide complete address of primary ❑ 4. Solar Energy Heating/Cooling System
residence, including county:
❑ 5. Wind Power Device
6195 W Stalheim Ave.
Address(Number and Street) ❑ 6. Hydroelectric-Power-Device
Owensville, IN 47665 I Gibson ❑ 7. Geothermal Energy Heating/Cooling Device
City, Stare IP Code County El 8. Is this property a residential rental property?
❑ A 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.
■ Not available in all counties.)
Address(Number and Street)
d 7/-03/-3 -coi(07<43-0(7V
,
City, State ZIP Code County Primary property owner contact name E-mail