Homestead_Palmer (2) INDIANA SALES DISCLOSURE FORM SDF ID:AraG________2__
Da l0000 e 2t Page 2
D,PREPARER • '
Michelle Haynes Closing Agent
j Preparer oldie Sales Disclosure Form Title
501 Main Street,Ste 101 Bosse Title Company
Address(Number and Street) Company
Evansville, IN 47708
E•mall
l
E.SELLER(S)/GRANTOR(S)
Christine M Ingler
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
12693 S 350 F
Address(Number and Street) Address(Number and Street)
Haubstadt IN 47639
E-mail Telephone Number E-mail
Under i• ..Ides of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a t = o t $ et;as re t ired by law,a ?T t " Iau: d in accordance with IC 6-1.1-5,5,"Real operty Sal Isclosure Act".
igna ture of Seller Signature of Seller
Christine M ingler 04/01/2011
Printed Name o Seller Slgn Date(MM/DD/YYYY) Printed Name of Seller gn°f h•••,'YY11
j F.BUYER(S)/GRANTEE(S)—APPLICATION FOR PROPERTY TAX DEDUCTIONS—IDENTIFY ALL ITEMS T 4.L., t t .;
Theodore H. Palmer Joni R.Palmer ., _
Buyer I-Name as appears an conveyance document Buyer 2-Name as appears on conveyance ocument JUN 2�20
25633 N County Road 2500 E 25633 N County Road 2500 E (�
Address(Number and Street) Address(Number and Street) V�
Manito,IL 61546 Manito, IL 61546 • t---`„r
E- ail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT A LY.
YES NO CONDITION YES NO CONDITION
✓❑ ❑ 1.Will this property be the buyer's primary J❑ ❑ 3.Homestead
residence? Provide complete address of primary ❑ Q 4.Solar Energy Heating/Cooling System
residence,including county: ❑ ❑✓ 5.Wind Power Device
12693 S.350 E
Address(Number and Street) ❑ ✓❑ 6.Hydroelectric Power Device
Haubstadt, IN 47639 Gibson ❑ El 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ Q 8.Is this property a residential rental property?
❑ 0 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide ❑ ✓❑ 9.Would you like to receive tax statements for this
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.)
Address(Number and Street) tr1 2 4.
fib'- 3—k5-`10o—soot .777 ..0
City,State ZIP Code County
Primary property owner contact name E-mail