Homestead_Hedge (6) •
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Karen Creek Title Agent
Preparer of the Sales Disclosure Form Title
501 Main Street,Suite 101 Bosse Title Company,LLC
Address(Number and Street) Company
Evansville,IN 47708 (
E-mail
E.SELLER(S)/GRANTOR(S)
Jennifer R.(fines)Summitt
Seller I-Name as appears on conveyance document Seller2•Name as appears on conveyance document
--39S r.R 015 O Ftw. •
Address Number and Street) Address(Number andStreet)
mall Telephone Number E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct
and complete as re uired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
II." AVill1444-4-ti
121u111
Slgna ofScller �t"- Sinature of Seller
Jennifer R.(fines)Summitt 12/06/2019 12/06/2019
Printed Name of Seller Sign Date(AIAI/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F UYER(S)/GRAjEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
imothy W.Hedge Kerijean Hedge
er l•Name as veyance document Buyer 2•Name as appears on conveyance document
517 Brumfiled Ave. 517 Brumfiled Ave.
❑ 1,Will this property be the buyer's primary 14 ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of prima
residence,including county: Elergy Heating/Cooling System
❑ 0 5.Wind Power Device
214 E.Walnut St. 0 El 6.Hydroelectric Power Device
Address(Number and Street) 0 ❑X 7.Geothermal Energy Heating/Cooling Device
Princeton,IN 47670 Gibson ❑ ❑X 8.Is this property a residential rental property?
City,State ZIP Code County
❑ 0 9.Would you like to receive tax statements for this
0 EI 2.Does the buyer have a homestead in Indiana to be property via e-mail? (Provide contact information
vacated for this residence? If yes,provide below.P! or more information.
complete address of residence being vacated, N vailable in all counties.)
including county:
Address(Number and Street)
26 12-07-201-000. 683-028