Homestead_Hopster (2) INDIANA SALES DISCLOSURE FORM SDF ID: • Page 2
IYPREPARER - - - € -. ... ..
Leisa Billings Processor
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 owensboro(7a fw-It.com
City,Stare,and ZIP Code Telephone Number E-mail
E.SECliER(S)%GRANTOR($) s{. :. - -._ r srarmkialK -
Daniel P Akin Achley M Akin
IerT4° rtt
Srson.4ronveygq docume c�� rmberand t) �`a� �72 t71 Address ro dd,SStint 0 77r)o
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Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
.nd comp •te as required [y law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seiler Signature ofSelle)' ��I
S IN11 1. r
Printed Name o_Seller S•n flifM/D. Printed Name a-Seller ardrairreglelWl
,F:BUYERS 'GRANTEE S -APPLICATION`FOR:P'OP'RTh';TAX'DEDUCTIONS ;IDENTIFY'ALL ITEMSIIii;1. .Fa I
rGres Hopster)
Buyer-Mimeos appears on conveyance document Buyer 2-Name as appears on conveyance docummy^AI �Ojn
306 East John Street JFiIV J
Address(Number and Street) Address(Number and Street) ��77
IL . . d�
Fort Branch, IN
E-mail Tele•hone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FORTHIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I Ya______NO CLJT) ON
0 ❑ 1.Will this property be the buyer's primary 1r [T ❑ 3.Homestead
residence? Provide complete address of primary El Q 4.Solar Energy Heating/Cooling System
residence,including county: ❑ 110 5.Wind Power Device
Address(Number and Street) ❑ RI 6. Hydroelectric Power Device
Clty,State ZIP Code County
❑ [] 7. Geothermal Energy Heating/Cooling Device
❑ IA 8.Is this property a residential rental property?
❑ z 2.Does the buyer have a homestead in Indiana to he ❑ El 9 Would you like to receive tax statements for this
vacated for this residence? If yes,provide
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) 1 0/ -coo • 94 s -on,
026
City,State ZIP Code County
Primory property owner contact name E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
Number License/ID/Other Number