Homestead_Lawson INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D. PREPARER
Kristina Watson Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812)425-0055 kristina@swinland.com
City,State,and ZIP Code Telephone Number E-mail
SELLER(S)/GRANTOR(S)
Nicholas Jay Barrett Lucie Jo Barrett
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
8038 S 550 W 8038 S 550 W
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665 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 complete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
/x/, % — /o-is a?K 2( !Kip 99 ` 2a"
Signature of S .er Signature of Seller
Nicholas Jay Barrett Lucie Jo Barrett )' 10JJ9�aoif
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign D e(M D/YYYY)
F. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITEMS THAT APPLY
Alisha J. Lawson
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance d t
831 N Canal St ds�
4>,)
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 Or% PLY.
YES NO CONDITION YES NO CONDITION Tyn
❑ 1. Will this property be the buyer's primary £ 0 3. Homestead 'JO/7-
residence? Provide complete address of primary 0 p 4. Solar Energy Heating/Cooling SystemOR
residence, including county:
0 El 5. Wind Power Device
8939 S Meadow Ln.
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
IOwensville, IN 47665 I Gibson ❑ 0 7. Geothermal Energy Heating/Cooling•Device
City,StaatterCode County 0 0 8. Is this property a residential rental property?
❑ 'w 2. Does the buyer have a homestead in Indiana to be ❑ 09. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) lo// 7- /00- 00/ 91Q-
� -� 0+ 7 � 0017
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City,State ZIP Code County Primary property owner contact name E-mail