Homestead_Satkamp (2) INDIANA SALES DISCLOSURE FORM SDF ID: VPage 2
D;:P..REPARER= . -- ?. -- --- r; ih' -- E "'--6_Y " Rr
C.Allan Hoffer Closing Agent ` _
Preparer of the Sales Disclosure Form Title
1842 E Spring St WT& S Title LLC C _ \§ 6
Address(Number and Street) Company
-
I New Albany, IN 47150 (
/
� E-mail
E!SELL'ERIS)`/G)2'AIJTO'R(S)S�' Y'' 7 -- "� ;e,=' . '{ 'I_at=. a a Sit .,� i �;`".< 47 r.
/cia2 a J G f'o-c6 r r .�.e l6 Sly 4 le_ ,* FX"S
Seller I-Name asa pears on conveyance document Seller 2-Name as appears on conveyance document
3/6,aZ 6 s'0 g f.2-2r e 3o6 s'
/2Address(Number and Street) i l' Address(Number and Street) ��
C4XC7/ YC0/ Y, 7G Y7 Gf27et4ro C/T7.7 • V26Cc
E-mail
Under enalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an om lete as re ' d by law,and is p ared in accordance with 1 1-5.5,"Real Pro les Disclosure Act".
ature oSeller
�$ign re of Seller �/ may/
/C/fYivro --1 • �0?G £t ,f2 07/3/0t0/ ' -IDS- A 1w4 /// 4-f,er 07///0ii
Printed Name of Seller Sian Date(MM/DD Printed Name of Seller Sian Dote(MM/DD
- " '. 'f I . al•:;ir i Ili - iTT, a! = ) ! JFY(ALL ITEMSITHAT'APPC)r ' _1
cyinntsif ni, e/ iP ✓/c ///I,v 'r7/ ill. S/j7�/fin,---
a •, 4..on • veyance document _ Buyer 2-Nam es• a••ease on conveyance document
S• , /7 If L - '" . i"-Yi
A, ess(Numberand Street) Add ass(Number and Street)
j, //1/GF /f�/ V2v7v p C/,vess-(7-v. 1/4 V7 c 7 c
---
Telephone Number E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION Y - 0 CONDITION
❑ 1.I.Vill this property be the buyer's primary [;]-Th 3. Homestead _'
residence? Provide complete address of primary R-4. So . - - it -. ng/Cooling System
residence,includes county:
022/ i✓, c G/)-rt/c .S/ ❑ Er-5.Wind_Power Device
ess(Number and Street) ❑ 6. Hydroelectric Power Device
,c/Nc F7 . y76 7 0 /�Sd
❑ Ef----7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ if 2. Does the buyer have a homestead in Indiana to be ❑ a...--/8 Is this property a residential rental property?vacated for this residence? If yes,provide ❑ R 9.Would you like to receive tax statements for this
complete address of residence beinb:vacated, property via e-mail?(Provide contact information
including county: below. PleasBseeinstructie more information.
oV t Ailable in all counties.)
Address(Number and Street)
2E0- /2- 07- 2- Off. z71/6- 028
City,State ZIP Code County •
Prim erty owner contact name E-mail