Homestead_Reising INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER• ,.-&'‘3.- .' rL3 ... . ?GF. : ,>.-,er24P 1 a .'G? sy > ..i 1" ''' r` ^' . k - t^ -r `. . :.r.1.-
KAREN HARBISON VP
Preparer of the Sales Disclosure Form Tide
803 E STATE HWY 68 HAUBSTADT STATE BANK
Address(Number andSaees) Company
HAUBSTADT IN 47639 812-768-5800 kharbisoneesbanc.com
City,State,and ZIP Code Telephone Number E-mail
E:SELLER(S)/GRANTOR(S), s. `... «, _._ :• r x . . .$,d. 4 fir'" -_ .
WIWAM J GOFDDF I AURA R GOFDDE
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1745 E 1025 S 1745 E 1025 S
Address(Number and Street) Address(Number and Street)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complet requir i$by 1 and is prepared in accordance with IC 6-1.1-5.5,"Real Prope Sales Disclosure Act".
"'Signature of Seller , S' nature leer
WU I IAM J GOFDDE 05/04/2018 LAURA R GOEDDE 05/04/2018
Printed Name of Seller Sign Date(MM/DD/rvn) Printed Name ofSe(ler Sign Date(MM/DD/YYYY)
F.BUYER(S)/GRANTEE(S) APPLICATION FOR PROPERMTAX'DEDUGTIONSciIDENTIF,XALI, " t •T: Y/= it' :'_:'rC «'
r (
_.1USTIN N REISIN KAY • : : ING �F
Buyer I•Name as appears an conveyance document Buyer 2-Name as appears on conveyance
'Ilw 'Sr'
11437 5160 E 11437 3 150E �AY 9 2u18
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 THAT APPLY.
YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary C 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
1745 EAST 1025 S 5.Wind Power Device
Address(Number and Saeet) ❑ 0 6.Hydroelectric Power Device
HAUBSTADT IN 47639 GIBSON 0 ❑ 7.Geothermal Energy Heating/Cooling Device
Ciry•State ZIP Code County
0 ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 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.
11437 S 150 E Not available in all counties.)
Address(Number and Street)
HAUBSTADT IN 47639 GIBSON oli - /9- 3,1 - Yoo _bO I. 017 -oAV
City,State ZIP Code County
Primary property owner contact name E-mail