Homestead_Gish INDIANA SALES DISCLOSURE FORM SDF ID: Paget
Deena Hendrickson Closer
Preparer of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 (812)759-5555 closines(a reeionaltitlellcom
City,State,and ZIP Code Telephone Number E-mail
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Grace E. Kohler
Seller I-Name as appears on conveyance document Seller I-Name as appears on conveyance eynnce document
8930 S 1125 W -a413tr —1-[T5'w-
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665
]
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co plete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Grace E. Kohler
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller ,Sign Date(MM/DD/YYYY)
WE4BUYRRR(S%GRA\TEE(SIOKPELSI'CATlONeFORdER'OPERTil lcODDEDUeirliii IDENt 'IEN A i^ITiEI IS,TiHiTT�9'P.P.LY
Joshua W. Gish a I
Buyer I-Name as appears on conveyance document Buyer 2- 'ame as appears on conveyance document
209 W Oregon St (f�m
Address(Number and street) (Nttm6er and Street)
Evansville, IN 47710
THE SAL DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROP . IDENTIFY ALL OF THOSE THAT PLY. ��]. —
YES NO CONDITION NO CONDITION qty /((
❑ 1.Will this property be the buyer's primary ❑ 3.HomesteBSON COUNTY AUDITOR
residence? Provide complete address of primary ❑ E 4.Solar Energy Heating/Cooling System
residence,including county: ❑ m 5.Wind Power Device
8930 S 1125 W
Address(Number and Street) ❑ E 6. Hydroelectric Power Device
Owensvill , t 47665 Gibson ❑ Elie 7.Geothermal Energy Heating/Cooling Device
City,State Cade county El ilkil 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 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.)
Address(Number and Street) Zoo -17 - 2. 9 ' f ao cog, 39 Co- oz r
1
Joshua W.Gish Kayla S. Gish
City,State ZIP Code County Primary property awn er contact name E-mail