Homestead_Wetekamp INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D}.PREP,ARER ---- —> - 77 - -- • - - - -
Angela M.Satterfield Escrow-Officer
Preparer of the Sales Disclosure Form Title .
530 Frederica Street Foreman Watson Land Title,LLC
Address(Number and Street) Company
Owensboro, KY 42301 270-689-2424 ASATTERFIELD@FW-LT.COM
City,State,and ZIP Code Telephone Number E-mail
Ei.SELLEIt(S)'/.GRANTORjSj:
Hannah K.Jenkins(fka Hannah K.Wetekamp)
Seller l-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
112- vi► laou t-n A I )
I
Address(Number and Street,' Address(Number and Street)
N-QwbUrc\1-) 1 N 4l( 0 .
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".
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S' atu 'Seller Signature of Seller
11 nnah .1-e- v-ins I (IIb1Z618
Printed Name of Seller Sian Date MM/DD IYYF)_ Printed Name a Seller Sian Date(MM/DD/WYY)
LRBU,YER(S)/.GRAN;TEE(S) ARRLICATIONiFORCP.ROEERTATAXtiDED Mil-OTS IDENTIFYiALCITiEMS,TH Aeel-Ne
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Nathan Wetekamp conveyance docum [ i
• Buyerl-Nameas appears on conveyance document Buyerl-Name as appears on conveyance
305 E. Ulen St !
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Address(Number and Street) Address(Number and Street) Nov d
THE YES SALES DISCLOSURE FORM
ON MAYBE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS Y PROPERTY. IDENTIFY CO 'DIT CONDITION FTHOSE THAT APPLY.UI�r h}�nItm,rOR
O
NO
❑✓ ❑ 1.Will this property be the buyer's primary ❑✓ 0 3.Homestead
residence? Provide complete address of primary ❑ E 4.Solar Energy Heating/Cooling System
residence,including county: ❑ 0 5.Wind Power Device
Address(Number and Street) ❑ ❑✓ 6.Hydroelectric Power Device
❑ IE 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 ❑ ❑`/ 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.
305 E. Ulen Street Not available in all counties.)
Address(Number and Street
Fort Branch,-IN 47648 Gibson „,76 /9-/ _So/ tom. 5$ 'oa6
City,State ZIP Code County
Primary property owner contact name E-mail