Homestead_Hirsch (7) INDIANA SALES DISCLOSURE FORM SDF ID: Pagel
D.PREPARER
Kathy Masterson CLOSER
Proporer of the Sales Disclosure Form Title
501 Main Street,Suite 101 Bosse Title Company,LLC
Address(Number and Street)
City,State.and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
Ryan E.Lewis
Seller I-Name as appears on conveyance document Seller2-Name as appears on conveyance document
Address(Numbcrand Street) Address(Number and Street)
Henderson,KY 42420
City,State,and ZIP Code City,State,and ZIP Code
Telephone Number E-mail 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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Ryan E.Lewis 02/14/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
FER(S)/GRANT -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
(WY
ichael Wayne Hirsch
••Nam ti on conveyan ocument Buyer 2-Name as appears on conveyance document
10656 Main St.
Address(Number and Street) Address(Number and Street)
Cynthiana,IN 47612
E-mail Telephone Number Feb 24 2020 E-mail
HE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IFY ALL OF THOSE T LY.
YES NO CONDITION YES NO CONDITION
9` ❑ 1.Will this property be the buyer's primary ciEt ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary U 11.. 4.Solar Energy Heating/Cooling System
residence,including county: ,.,/
El In 5.Wind Power Device
105 S.Willard St. ❑ I" 6.Hydroelectric Power Device
Address(Number and Street)
0 7.Geothermal Energy Heating/Cooling Device
Fort Branch,IN 47648 Gibson ❑ E T' 8.Is this property a residential rental property?
City,State ZIP Code County EltL—'��
9.Would you like to receive tax statements for this
1:12.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.Please see instructions for more information.
complete address of residence being vacated, Not available in all counties.)
including county:
Address(Number and Street)
26-19-18-303-000. 224-026
City,State ZIP Code County Pritwrypmpert a ro"mrtname E-mail
License/ID/Other Number