Homestead_Hooker (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER -
Leisa Billings
Preparer of the Sales Disclosure Form Title
530 Frederica Street Foreman Watson Land Title
Address(Number and Street) Company
Owensboro KY 42301 270-689-2424 owensboroc@fw-It.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)JGRANTOR(S)
Mark A Wahl I on A Wahl
Seller l-Name as appears on conveyance document Seller 2-Name as appears on conveyance docurpnt
.too w- In Jtti iin Kf S i< QD0 \l l . 4iaAv.1/4.4_.\ t .
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 complete as required by law,and is pr pared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller f nature of Seller
Mark A Wahl I Da)30 1) % I Dri A.Wahl (c( (
Printed Name of Seller Siqn D a(MM/abbb/YYn) Printed Name of Seller Si n Date(MM/oo(YYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL j�E]1T 1 AT TELL .
Chad L. Hooker Buyer asappearson conveyance I-Name ears on conveyance document document
602 East Tretter Park Drive NOV 2 2018
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 YES NO CDSCHTION
0 ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead
residence? Provide complete address of primary 4. Solar Energy Heating/Cooling System
residence,including county:
❑ ❑✓ 5.Wind Power Device
Address(Number and Street) ❑ o 6. Hydroelectric Power Device
0 7 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ j 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 ❑ Z 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)
AG - i 9 -i8 -3° . - oao. o 9'3 -o.. L
City,State ZIP Code County
Primary property owner contact name E-mail