Homestead_Simpson 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)
Joy D. Barrett
I Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
! 806 E Strain St
' ' Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and complete as -•uired by law, 'ski/.prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
I A ' /, /Le/I/ ArAy
• ig ft!-of.e e f Signature of Seller
Joy r. :arr- 4/9/2018 4/9/2018
'tinted 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
Eric G. Simpson Kristine N. Simpson
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docu t -
430 Meadow Green 430 Meadow Green
Address(Number and Street) Address(Number and Street) .
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TF�.._
YES NO CONDITION YES NO CONDITION. luti bR
El ❑ 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
7722 S US Highway 41
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Fort Branch, IN 47648 I Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ❑ 0 8. Is this property a residential rental property?
❑ ❑ 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) � /1 D
J -/ _/Q- 2o6tiOO/ a a
City State ZIP Code County Primary property owner contact name E-mail