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Homestead_Field (2)
INDIANA SALES DISCLOSURE FORM SDF ID: • Page 2 tD.TREPARER Si, 4 ' -t n.',, b tom,- -. - .-, -..;n. .._.-•L'`.:1; t-.' . ika .-++ze-:::3',:;-:...., . KAREN HARBISON VP Preparer of the Sales Disclosure Form Tide 803 E STATE HWY 68 HAUBSTADT STATE BANK Address(Number and Street) Company HAUBSTADT IN 47639 812-768-5800 City,State,and ZIP Code Telephone Number E-mail J E:T S E L L 7'E R(S)'/.G R A N T O R(S):__.2. ,, CT-IL, a 5 7,. --` =` ; , ,` : -,-.2'' c1cs,-- . ,$._ ,. ,..; . :1i j ' JERRY W FOWI FR JANFT A POW' ER _ Seller l-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 9119 BALDWIN DR 9119 BAI DWIN DR Address(Number and Street) Address(Number and Street) Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct a complete as r uire y law,and is prepared in accordance Y ith C 6-1.1-5.5,"Real Pr perty Sales Disclosure Act". J �� it! re P Ber ,Igna are of Seller ,IFR& W OWI FR 01/17/2018 IANFT A FOWL FR 01/17/2018 Printed Name of Seller Sign Date(MM/OD/YYr Printed Name of Seller Sin Date(MM n�'1}-a JETBU,YER(S)�/,GRANTEE(S)T-0 APP,LIGATION-OVERORER<TWITAXTDEDI)CTIONS t)ENTIEWALL3ITE ISTITHr1TVAP, Alts 12 : . - ' t' AARON J FIELD SARAH A FIELD �`�}� Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 900 W BOONVILLE NEW HARMONY RD 900 W BOONVILLE NEW HARMONY RD IAN 19 2018 Address(Number and Street) Address(Number and Street) THE SALES DISCLOSURE FORM M BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ 1579 E AUTUMN RIDGE 5.Wind Power Device Address(Number and Street) ❑ 171 6.Hydroelectric Power Device HAUBSTADT IN 47639 GIBSON ❑ I[ 7.Geothermal Energy Heating/Cooling Device City,Sta te ZIP Code County Q 111 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property? vacated for this residence? If yes,provide ❑ V} 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. 900 W BOONVILLE NEW HARMONY RD Not available in all counties.) Address(Number and Street) ^'� EVANSVILLE IN VANDERBURG c9(7- 83 -1�-aoo-coo• sqL,- .Q7y City,State ZIP Code - -- County Primacy property owner contact name E-mail