Homestead_Elrod INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Chris Sullivan Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
r-
Britton L.Bush Abigail A.Bush
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
606 Water Tower Rd. 606 Water Tower Rd.
Address(Number and Street) Address(Number and Street)
Owensville,IN 47665 Owensville,IN 47665
Telephone Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosu ,to a best o knowledge and belief,is true,correct
an�/. mple t.F'� required by law,and is prepared in accordance IC -1.1-5.5, R �1 Property Sales Disclosure Act".
Ji,
tCA, \
Signs •o Q S nature of Seller
Britton L.Bush 0 — � L'S Abigail A.Bush la—S--19 -
Printed Name ofSeller Sign Date(MM/DD/YYY1) Printed Name of Seller Sign Date(MM/DD/6rrr1
bkit IYEi i/GRAN'1'EE(Sl.:-ARPLIGATION4FORIAROPER.TY-PAX6DEDUC PIONS.4DENTIPIF�6kibiTRMS4PHA i APRLYf� .'
anda Smith Elrod lJ
yet1-Nameasappe ntjjwveyancedocument
t n„vvr2-Name as appears on conveyance document
4-W-Stalheim
Address(Number and Street) Address7Numno,..4•.—.••--
Owensville,IN 47665
PRSPERTY.IDENTIFY ALt HOSE THAT APPLY. FILED
YES NO CONDITION i YES NO CONDITION
1.Will this property be the buyer's primary �� Dec 10 2019
❑ p p ty y ( I�� ❑ 3.Homestead
residence? Provide complete address of primary,,___u_I4cola;E Heating/Coolin ' Il�—
residence,including county: ❑ l 5.Wind Power Device GIBSON COUNTY AUDITOR CB
606 Water Tower Road
Address(Number and Street) ❑ ll 6.Hydroelectric Power Device
Owensville,IN 47665 Gibson ❑ Cf 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County ❑ 8.Is this property a residential rental property?
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 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)
i
Address(Number and Street)
Amanda Smith Elr 26-1$-06- - 2
Number License/ID/Other Number