Homestead_Nurrenbern (2) INDIANA SALES DISCLOSURE FORM SDF ID: 26 19 - 1130723 I'a'e 2
D.PREPARER
CARLA WALTMAN ESCROW CLOSER
Preporer of the Saks Disclosure Form Tale
331 FRANKLIN ST TITLE CENTER OF INDIANA
Address(Number and Street) Company
COLUMBUS, IN 47201
City,State,and ZIP Cade Telephone Number Email
E.SELLER(S)/GRANTOR(S) _
KELLY L FOSTER MELISSA L FOSTER
Seller!-Nome as appears un conveyance document Seller 2-Name ar appears an conveyance document
12936 SOUTH SUNSET DRIVE 12936 SOUTH SUNSET DRIVE
Address(Number and Street) Address(Number and Street)
HAUBSTADT, IN 47639 HABUSTADT, IN 47639
City,State,
correct
and complete-is required b law lid is pre m accordance with IC 6-1.1-5.5,"Real Pro erty Sales Disclosure Act".
/ Lee `y \Oj/`7/mi t
. / err s .Sry nova n'•.rlcr
KELLY I.Fe.'-- se-
rZb41 MELISSA L FOSTER 2•24'71
P ' ed Name of Seller Sion Date iMN/oa/Ymt Printed Name of Seller Sian Date(MM/oa/YYYYI
r BUYER(SJGRANTEE(S)-APPLIC•TION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
4 JEFFREY ALAN NURRENBERN LAURA ANN NURRENBERN —
Buperl-Nnmaa ace document Buyer 2-Name as appears on conveyance document
- •- • - - 'i. 'EET 605 SOUTH WILLARD STREET
Address(Number and Street) Address(Number and Street)
FORT BRANCH, IN 47648 FORT BRANCH ,IN 47648 1
City.State,
2010 E-mall
TIIE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY- IDENTIFY ALL OF THOSE THAT APP ' -
YES NO CONDITION YES NO CONDITION
m 0 1.Will this property be the buyer's primary m 0 3.Homestead G ON COUNTY AUDITOR CB
residence? Provide complete address of prima yI"-Ene eating/Cooling System
12936 SOUTH SUNSET DRIVE county: m
5.Wind Power Device
Ad•br„(/hmAo-r and.Str,etJ 0 m 6.Hydroelectric Power Device
HAIIRSTADT, IN 47639 26
❑ m 7.Geothermal Energy Heating/Cooling Device
City,State AP Code County
❑ m 2.Does the buyer have a homestead in Indiana to be Elm B.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ ® 9.Woul ou-like-to- ec ' e tax statements for this
complete address of residence being vacated, property via e-mail?(Provi e c afac.Q.Lformation
including county: below.Please see instructions for more Info ation.
Not available in all counties.)
drms(Number and Street) 26-22-14-300-001. 638-024
. IN
JEFFREY ALAN NURRENBERN
Ow,Stare ZIP Code eou.�ry
\ primary property a —„Pte .. E-mail