Homestead_Wright (5) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER _.. _ . . . ..
KATHY RENEE MASTERSON CLOSING AGENT
Preparer of theSofa Dhdooms Farm Title
501 MAIN STREET BOSSE TITLE COMPANY
Address(Number and Street) Company
EVASVILLE IN 47708
Small
•
E.SELLER(SJ/GRANTOR(S)
Sarata 1 1 I C
'TYt, me m appears on conveyance Mumma Seller 2-Name n on smveyonce docomeot
lion WO
Address(Number and Street) Address(Number and Street)
Fvar smile IN 47775
aty,Stoic and VP Code [fix State.cod ZIP Code
Telephone Number £anal) `--Zsre Anne Number E.thed
Under penalties of pe ' , hereby certify that this Sales Disclosure,tout E'b my knowledge and belief,Is true,correct
and complete as ired by law,and Is prepared in accordance with IC 6-1.1.5.5,"Rea °les Disclosure Act".
_Jignn�tvre4Seaer Slgnuture ofSdkr
/Michael Reeder Member (14/1917019
Printed More el Seiler in Date tnR/namYn Printed Nome of Seller Sign Date(ItllfnomTl
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL-ITEMS-THAT APPLY`
Jake J Wriaht
Dwyer I•Name as appears on conveyance document Boyer•Name as appears on conveyance document F I LE D
157 E SR 68 Aot 206
Addrns(Number:ma Saw) Address(Number and Street) Apr 22 2019
Hau .IN 47639
Clu,Stotc Smte and ZIP Cade City,State end ZIP Code
E-mail Telephone Number man
TIIE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO cONOmON YES NO CONDITION ,
❑ ❑ 1.Will this property be the buyer's primary ❑ ❑ 3.Homestead
residence? Provide complete address of primary ❑ ❑ 4.Solar Energy Heating/Cooling System
residence,including county: 0 m S.Wind Power Device
5411 N H9kre41 Dr
Addrar(Number wad Sneer) ❑ ❑ 6.Hydroelectric Power Device
Ft. Branch.IN 47648 GIBSON 0 E( 7.Geothermal Energy Heating/Cooling Device
an,Stole ZIP Code County
❑ Q 2.Does the buyer have a homestead in Indiana to he El ❑ 8.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: below.Please see instructions for more information.
Not available in all counties.)
Adds.=(Number and Senn) 26-19-18-302-000.406-026
City.State VP Code County Frimosy pn any owner contort name Email
Number License/ID/Other Number