Homestead_Cox (2) 1
INDIANA SALES DISCLOSURE FORM SDF ID: -2018- Page 2
fI REPARRSd..ts C. `s',t?s zTabA /roc" '',�a "A TY's>'aitt _ c: .``iF...o v',
Shannon Lotg Closer
Prepaarer of the Sales D/sr/osure Form Title
207 Grandview Drive,Ste 150 Stewart Tide of Ondnnatl-Residential
Address(Number and Sweet) Company
Ft Mitchell,KY 41017 (859)282-6165 slong@stewartcom
City,State,and ZIP Code Telephone Number E-mail
LEXt,(SELL+ER('S)%GRANTARMItfa=:+iafe3'<g.' ---' „Setv.:..r'__. V4rt:teiritafardArir�itW7"i�.s�'t `i
Francis J.Angermeier,Successor Trustee of The Lynn Edward Angermeler
Revocable Trust Agreement dated the 6th day of January 2004 -- _
Seiler 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
Address(Number and Street) Address(Number and Street)
City,State,and ZIP Code Gty,State,and ZIP Code
(
Telephone Number E-mail
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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
1 i
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FIb�E ��1
Signature of Seller Signature ofSelfer
Francis J.Angermeler,Successor Trustee
of The Lynn Edward Angermeier S E P 11 2018
Revocable Tent Agreement dated the 6th
day of January 2004 9/7/2018
Printed Name of Seller Slgn Date(MM/DD/YYYY) Printed Name of Seller - (Son Date ty j
yyt�h Ne E
�F,�nUYER 5�G 'RIiNTEEr5f gP;alleA'fdOt'�.E�ORIFROPERTYhT. -KEDUCIIONSaI4[ Elf 3�'�,IFIYaAL .ITE:1S Ti ATitAPP�Yzt�,F"'...�'� -�,`c�-�
GIBSON t..,uuN I r lit-.Lti,'JI
Cod R.Cox
s appears on conveyance document Buyer 2-Name as appears on conveyance document
12183 West700S _
Address(Number and Street) Address(Number and Street)
Owensvl!e,IN 47665
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES
NO CONDITION Y NO CONDITION
i1. 0 1.Will this property be the buyer's primary ( X_ 0 3. Homestead
residence?Provide complete address of \ oar nergy eating/Cooling System
primary residence, including county: ❑ Rj 5.Wind Power Device
12183 West 700 S
Address(Number and Sweet) ❑ 4 6. Hydroelectric Power Device
Owensville,IN 47665 Gibson 0 71 7.Geothermal Energy Heating/Cooling Device
My,State ZIP Code County ❑ Jai8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in 0 9.Would you like to receive tax statements for
Indiana to be vacated for this residence? this property via a-mall?(Provide contact
If yes,provide complete address of information below. Please see instructions for
residence being vacated,induding I(� ?more Information. Not available in all counties.)
county: -tlr- I — 1 8 — 300 - o o 3. -(:, 2_ -021 .
Address(Number and Street) `//1'ao n�
n.
dry,State ZIPCode County Primary property owner contact name E-mail