Homestead_BaehlL�DL��d SALES DISCLOSURE FORU SDF ID SDO ID 716862 Page 2
D.PREPARER -
Michelle Haynes Closing Agent
Preparer oJ[he SaleOSdosur¢ Form Title
501 Main Street, Ste 107 Bosse Title Company
Address(Numbcrand5tren) Compam
Evansville, IN 4770&
Emoi!
E. SELLER 5) GRANTOR $j � � '
Brian J. Baker Jamie S. Baker
Seller I� Name os appmn on conre�ance dacumen: Scller7 - Name as appmrs on cwve}nnre dxument
259 E. 795 S. 259 E. 795 S.
Address (Number and SveeQ Address (Numberand StreeQ
Fort Branch, IN 476a& Fort Branch, IN 476a&
C.ry.Sforc. and L!P fnde Ci[e Sla¢. and ZIP fide
tlumber E-moil
Under penalties o( erjury, l hereby certify tha[ this Sales Disclosure, to the best of my knowledge and belief, is [ne, correct
andeex�l te as equire v law, and is prepared in accordance Lviff� Iy��� 1 Proper[y Sales Disclosure Act".
�'' ( 11
3 . o <�'r 'nomno(%Iler _ r�-
1'� lP a0l 1 ��•[�x�-� QCj I � �C �� 1 1
���,
F.BUYERS GRA�TEES -APP CATIONFOR,PROPERTYTAXDEDUCTIONS-IDENTIFYALLITEMSTHATAPPLY
Eric A. Baehl
'measa0o . me}nncedwvmen[ 8J'er:-Narneosapptvrsmmnrq'mredntumen(
105 . ain Street, Apt A
Acdras (Nnmber endStrreQ AaCreu (A'umber and S.rn�)
Fort Branch, IN 47648-
Ciy.Smte, andZlPlode CiRt Smce. and ZIPCOde
,
E�mail TelephoneNumber Emuil
TNE SALES UISCLOSIIRE FOR4 MAV RE USED TO APPL1' FOR CERTAI V UEDIICfI0Y5 FOR THIS PROPERTY. IDE\TIFS'.1LL OF TMOSE THAT �1PPL1'.
1'FS NO CO\DITION I YES AO COROITIOY
xQ ❑ 1.lNil1 this property be the buyer's primary ❑x ❑ 3. Homescead
residence? Pro��dc completc addressof primary � � 4, Solar Energy Heating/Cooling System
residence, including county: ❑ �
255 E. 795 5. 5. Wind Power Device
Addiw(::umbercndSVeel) � Q 6. Hydroelectric Power Devite
Fort Branch, IN a76ae GBSON � � 7. Geothermal Energy Heating/Cooling Device
Cib,SmteZIPCoAe Counry
�� 2. Does the buyer have a homestead in InJiana to be � � $� �s this property a residen[ial rental property?
vacated for this residence? If yes, provide ❑ 0 9. Would you like to receive tax stacements for this
complete aJdress o( residence being vacated, property via e-mail? (Provrde conmct informadon
induding counq�: below. Please see instructionstor more in%armatian.
Abt available in all counties.)
Addrrss (Num6er md 5[rertJ 'f/
Ciry.Smte%IYCoAe Counry "/� / • - a°3-°o% �G� oa�
Pnmaryproperryownermr.:eanome £-mail
Under penalties of perjury, I hereby cer[ify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
and comple[e as required b}' law, and is prepared in accordance with IC 6Q1-5.5, "Real Property Sales Disclosure Ac[". (No[e:
Spouse in(ormation, Social Security and Driver's License/Other numbers are ��ot necessary if no Homestead Deduction is
being filed.)
�A.a��.
r�qnomre o/ Nuyerl Signamre ofNUye�Z/Spouse
t'.�i (�i� •�e l�� (�l I 11� �� 1 I
�7dntrdLega7Nameo(Bm�er] Si,qnOule(�!5f/UO/YY1M1} PrintcvlLe�alNanm (6u}�e�Z/SOOUSe Si,qnOa<e(uH/OOry»'YJ
Lat[Sdigicco(Buyer7Driver's 5[ate LaslSDigitsaJSa'ial5eturiryNUmber LastSdigitso(Buyer7/SpouseDrirer's Smre LastSDigirso/Saciol5erunry
License/IU/Ofher�tlwrtber Number License/!D/O[herNumber