Homestead_Masterson (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D Bi.EPARER — — —
Kandace Rogers Closer
Preparer of the Sales Disclosure Form Title
3101 N. Green River Road Suite 130 Columbia Title
Address(Number and Street) Company
Evansville, IN 47715 I
mail
.. CtSELGER(StGRH-,Ti—R(S — -- • — ----------- ---7------ ---
Richard A Molter 1 isa L Motter
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
415 W Bntmmitt 400 S Main St Ant A
Address(Number and Street) Address(Number and Street)
Owensville IN 47665 Fort Branch IN 47648
-
E-mail
Under pen Ides f perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and com et , s uiy h 'law,an is prepared - i accr-dance with IC 6-1.1-5.5," e I Pro ert'Sales Disclosure Act".
Signature of Seller Signature of Seller
Richard A Molter 2/28/2019 Lisa L Motter 2J28J2019
Printed ' . , I San Date(H.a/DD/YMN) Printed Name of Seller Sign Date(HMADD/YYYY)
(FCGR(Sy Rlt\'ITEE(S)&-_ P IC MION(EORWOI'ERTY_.TA ZEDEGTIO\ODENEIF} A'LE,IT IS)TIH'fAT-APPI_',Yi - _ - -
ew W.Masterson Jessica Masterson
] Name as appears on conveyadocument Buyer 2-Name as appears on convvvey�•aance document�p�...I'1 _
H ��bJ I
3otMsT'SlWest - 5356 South 950 West
. Address(Number and Street) Address(Numberand Street) t�?
•
Owensville. IN 47665 Owensville, IN 47665
City,State,and ZIP Code City,State,and ZIP Code
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PRO ". LOF THOSE TAPPL
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homesf'e1PdsON C TY AUL)I I OH
residence? Provide complete address of primary 4.Solar Energy Heati Cooling System
residence,including county: ❑
5656 South 950 West ✓ 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Owensville. IN 47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State Zl Cade County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 08. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 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: be • •. ' rase seeinstrucb ore information.
Not available in all counties.)
Address(Number and Street)
9‘'• -11 -03 - 3-00 -00 23 —O
City,State ZIP Code County
Primary pro, ..-.wmer contact name E-mail