Homestead_Williamson (6) :yt'S ALES DISCLOSURE FORM SDF ID: Page 2
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Darin Higgs ,
/ Preparer ofthe Soles Disclosure Fenn Title
.1925 W Franklin St
Address(Number and Street) Company
Evansville, IN 47712 812-423-5535 dwhiggs @jaglo.com
co;State,and ZIP Code Telephone Number Email
E.;SEL ER•$T.GRA\TiOR,s "0:4-14' ..�: i " t„r.".` . S$ n, ....--'t' k L,--c:< Y.«: YiF s2st ez'``M•
Jessica R.Williamson
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
527 W. Division Street, Lot B2
Address(Number and Street) Address(Number and Street)
•
Oakland City, Indiana 47660
City.
F3BaFR( i�hTiEETS i M'ffp,,PLICATIONFFQTPROP.ERT .I AXRDED,UCT10\S IDENTIFaYA'AIREMSYTiH%ATAIIP,CY(ii}ki`i#ti3.-f `i
4 Pete J.Williamson
Buyer , ors on conveyance document Buyer 2-Name as appears on conveyance document
-e• I. Main St
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648
City,State.and ZIP Code
+ all
i THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT P Y. I.._a
YES ' NO CONDITION I YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead JUN 0 7 2018
residence? Provide complete address of primary ❑ 14 4.Solar Energy Heating/Cooling System
residence,including county: `n�,,
❑ IN 5.Wind Power Device 06 I
Address(Number and Street) ❑ 0 6.Hydroelectric Possitgl9Hce0UP1TY AUDITOR
❑ E 7.Geothermal Energy Heating/Cooling Device
City State ZIP Code County -
❑ 0 2. Does the buyer have a homestead in Indiana to be ❑ 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.
Not available in all counties.)
Address(Number and Street)
City.State ZIP Code County ac - ly -6 -1-‘02 -O00.6 9- Lk -02L
Primary property owner contact name E-mail
Under penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". (Note:
Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
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Sla .. re of Buyer] Signature of Buyer2/Spouse
Pete J.Williamson