Homestead_Luebbehusen INDIANA SALES DISCLOSURE FORM SDF ID: 2018 Page 2
D. PREPARER
Teresa S. Holifield 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 teresa@swinland.com
City,State, and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Steven G. Mabrey Crystal D. Mabrey
Seller 1 -Name as appears on conveyance document Seller 2-Name as appears on conveyance document
8405E 900 S 8405E 900 S
Address(Number and Street) Address(Number and Street)
Elberfeld, IN 47613 Elberfeld, IN 47613
City, State, and ZIP Code City,State, and ZIP Code
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• E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my( nowledge and belief, is true,correct
and complete as required by law, and is prepared in accordance with IC 6.1.1-5.5-"R_I�perty,Sal�osure Act".
IfiAj,
fret
Signature of Seller- ( ign f Prof Seer
Steven G. Mabrey 12/27/2018 Crystal D. Mabrey 12/27/2018
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. R(S)/GRANTI ) •APPLICATION FOR PROPERTY TAX DEDUCTtO S -IDENTI L ITFIT PE D___Aaron J. Luebbe en,
lichelle L. Luebbehusen 11QQ--�'
ears on conveyance document Buy 2-Name as rs conveyance document
4333 Bell Rd,Apt 1301 4333 Bell CI,Arm lei1 JAN-03 2019
Address(Number and Street) Address(Number and Street) - -
Newburgh, IN 47630 Newburgh, IN 47630 n` i.victig _
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E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS-FOR THIS PROPERTY. I EDI ED NTIFY LL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
❑ 0 1. Will this property be the buyer's primary 121 ❑ 3. Homestead
residence? Provide complete address of primary eating/Cooling System
residence, including county:
0 Il 5. Wind Power Device
8405 E 900 S
Address(Number and Street) 0 O 6. Hydroelectric Power Device
Elberfeld, IN 47613 I Gibson 0 0 7. Geothermal Energy Heating/Cooling Device
City, Stateg Code County 0 0 8. Is this property a residential rental property?
❑ n 2. Does the buyer have a homestead in Indiana to be ❑ a 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete propert ia->._==II�� vide contact information
address of residence being vacated, including county: ow. Please see instructio ore information.
Not available in all counties.)
Address(Number and Street)
26 -20-Z8-20D-- ono. 094,- tool
Primary property owner contact name E-m I
City, State ZIP Code County
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best or my knowledge an , true,correct and