Homestead_Berry (6) INDIANA SALES DISCLOSURE FORM SDF ID: 2018 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)
Michael G. Slinker Sandra K. Stinker
Seller 1 -Name as appears on conveyance document Seller 2-Name as appears on conveyance document
401 E Illinois St 401 E Illinois St
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 Princeton, IN 47670
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct
a•d complete as required by law, and is a re in accordance wl C 6-1.1-5.5, "Real Property Sales Disclosure Act".
r S _ / / , , // v e, // /
Signature of Sell- Signat re of Sel er
Michael G. Slinker 3/30/2018 Sandra K. Stinker 3/30/2018
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/OD/YYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITEMS THA 1
Rachel A. Berry
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
'504 Beachfront Dr APR 3 2018
Address(Number and Street) Address(Number and Street)
Evansville, IN 47715
THE SALES DISCLOSURE FORM MAY 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 ❑ 0 4. Solar Energy Heating/Cooling System
residence, including county:
❑ 0 5. Wind Power Device
401 E Illinois St.
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Princeton, I 47670 I Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
r /Iy, a IP Code County ❑ 0 8. Is this property a residential rental property?
1 • 2. Does the buyer have a homestead in Indiana to be ❑ 0 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) /•)/ - I�_I g ct/COI - O� ^(�£7Z/ o
o D
City,State ZIP Code County Primary property owner contact name � K
E-mail