Homestead_Retter INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
_D.PREPARER _
-
THOMAS L. MONTGOMERY GENERAL MANAGER
Preparer of the Sales Disclosure Form Title
101 PLAZA EAST BLVD.. STE. 102 TRUE TITLE SERVICE. LLC .
Address(Number and Street) Company
EVANSVILLE, IN 47715 812.402.6555 closinos@ltruetitlein.com
City,State,and ZIP Code Telephone Number E-mail
MICHAEL C. MATHEWS BRENDA L. MATHEWS
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
8888 51125 W 8888 S 1125 W
4ddress(Number and Street) Address(Number and Street)
Owensville,IN 47665-8867 Owensville,IN 47665-8867
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and cam lete s re uired •y law .nd is prepared in accordance with IC 1.1-55,"Real Prop', S. - Disclosure Act".
• I �� nil
Sign tyre of Seller Signature of Seller
MICHAEL C. MATHEWS 04/09/18 BRENDA L. MATHEWS 04/09/18
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
-F.BUYER(Sl/GRANTEEISI-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL IT -AP
NICHOLAS A. RETTER
Bayer I-Name as appears on conveyance document Buyer 2-Name as appears an conveyance
4333 Birch Drive
Address(Number and Street) Address(Number and Street) APR 25 2018
Newburgh,IN 47630
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
❑ 1.Will this property be the buyer's primary M ❑ 3.Homestead
residence? Provide complete address of primary ❑ I1 4.Solar Energy Heating/Cooling System
residence,including county: ❑
8888 S 1125 W 0 5.Wind Power Device
Address(Number and Street) ❑ El 6. Hydroelectric Power Device
Owensville, IN 47665-8867 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
r •,State e Code County ❑ Z8 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 address of residence being vacated, property via e-mail?(Provide contact information
including county: below. Please see instructions for more information.
Not available in all counties.) 1
Address(Number and Street) ,4 -I?- 1-100 .000 ie, 33f_o L,
NICHOLAS A. RETTER
Lig,State ZIP Code County Primary property owner contact name E-mail