Homestead_Smith (5) INDIANA SALES DISCLOSURE FORM SDF ID:_ Page 2
D.PREPARER . .
CHRISTINA LENFERS CLOSING AGENT -
Preparer of the Sala Disclosure Form Tile
501 MAIN ST STE 101 BOSSE TITLE CO
Addrev(Number end Strict) Company
EVANSVILLE IN 47708 812-421-4000
CID;State.and ZIP Code Telephone Number E-nrall
E.SELLER(S)/G RANTORtS) _ . - _ .
RORRIF I WII SON KARFN L WIL59N
lSe1(kl•Na�soppenancave/an dcp xu.-ent n1' /ci Seller 2-Name as appears an conveyance document
�O-)` Canir 'Pr(J�Cn.tn�Cn YV, V SAME
(Humber red eee) f_—�.I . 4 03 5 Address(Number end Street)
C 5^�e and ZIP Cede CIry,Store and VP Code
Size,
E-mail 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_cc1
required bylaw,and is prepared in accordance with IC 6 .1-SS," al Pr e Sales Disclosure Act".
V>L Ct
�S(Srature o/Seller ntu ofS<Der
ROBBJFS WII SON 12114(2018 KARFN WII SON 12114/2018
Printed Name Sian Dare(MM/DD/rYTn Printed NaneofSeller Sion Date(MIAnD/rfvtt
E:BGYER(S)/GRANTEE )-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY .
( - COLTIN A.SMITH
`--8tyer • 'oni appears on conveyance document Buyer 2-Name as dppearr on conveyance document
2115 E FRANKLIN ST SAME
Address(Number and Street) Address(Number and Street)
EVANSVILLE IN 47711
TekpEaie Number E-mail Telephone Number
I� �� E-mall
THE SALES DLSCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TOILS PROPERTY. LL.D TIF ! T LY. g f_ir
YES NO CONDITION NO CONDITION ��
151 ❑ 1.Will this property be the buyer's primary ❑ 3.Homes ad
residence? Provide complete address of prim �F" 9 2 7n1
residen ,includi I _ ❑ ^ / ergy Heating/ olrn YstemB
,D�. {5$' �iVC 0 U, 5.Wind Power Device
Adcp ( aa.0 dsera a fr JAI L/,g6039 /1,/_�y_ ❑ �( 6:Hydroelectric Power 9vicei- �
ory.SWUM' a G(..��"1 .Jl�+ 7 t 7 ( fCounnryty l ❑ a 7.Geothermal Enfeer��ff�e�ahng/Gbolitig DeyktR
0 Does the buyer have a homestead in Indiana Co be ❑ �� Is this property a residential rental property?
vacated for this residence? If yes,provide 0 LS 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.- ease see instrucd nos for-more information.
Not available in all counties.)
Address(Number and Sarre!)
CIry,State VP Code County ( 1 - '3�- y�l- 000. t0 yl-�q
Prmary property owner t e— E-mail
iD/OtherNamber