Homestead_Fillingim INDIANA SALES DISCLOSURE FORM SDF ID: 2020 Page 2
D. PREPARER
Amy Pollard Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (
mail
E. SELLER(S)/GRANTOR(S)
Brian Kramer Jessica L. Kramer
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
701 Tretter Park Dr. 701 Tretter Park Dr.
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 Fort Branch, IN 47648
City,State,and ZIP Code City, State, and ZIP Code
iJ
Telephone Number E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge nd belief, is true,correct
and,complete as required by law,and is prepared in accordance with IC 6-1.1-5 eal^Property ales D/i cl ure Act".
.A.:1.—„_- --.4e-s—.--...----- I ' ."-egt,'"9 4-j"'..--‘--
Sign urler Sign of Seller
Brian Kramer /2020 Jessi L. Kramer 6/8/2020
Printed Nam of Seller Sign Date(MM/DD ' Printed Name of Seller Sign Date(MM/DD/YYYY)
F. S)/GRA - RTY TAX D I UCTIONS-IDENTIFY ALL ITEMS T1 PPLY
Neil Ames Fillingim Mi. elle Fillingim )
Buyer 1-Name as appears on conveyance document Bu er 2-Name as appears on ''0.vey- e h docurAst /
203 E. Gibson St. 203 - Gibson St. `\' Q-
Address(Number and Street) Addr:ss(Number and St--;.-
-) +s
Haubstadt, IN 47639 Haubstadt, IN 47639 r ,� ► Q,
City,State,and ZIP Code Ci•, State, and ZIP Code • A. ,`4,
(
E-mag„iiill Telephone Number E-mail
THE SALES DISCLOSURE FORM M• - - - - '- • •R CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF bSE THAT APPLY.
YES NO •- % •N I YES CONDITION C)��
► El1. Will this property be the buyer's primary L 0 3. Homestead
residence? Provide complete address of primary 0 0 4. Solar Energy Heating/Cooling System
residence, including county:
0 0 5. Wind Power Device
701 Tretter Park Dr.
Address(Number and Street) 0 0 6. Hydroelectric Power Device
Fort Branch, IN 47648 Gibson 0 0 7. Geothermal Energy Heating/Cooling Device
City,State ZI ode County 0 0 8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be 0 0 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-e act information
address of residence being vacated, including county: below. Please see instructions for mor ' rmation.
o available in all coup les.
Address(Number and Street)
n
City, State ZIP Code County mary property owner contact name E-mail