Homestead_Fuhs (4) z I,NDIANASALES DISCLOSURE FORM SDF ID:_ Page 2
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Chris Sullivan Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
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Lance C.Alston Lauren L.Alston
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
11880 S Honeysuckle Ln 11880 S Honeysuckle Ln
Address(Number and Street) Address(Number and Street)
Haubstadt,IN 47639 Haubstadt,IN 47639
smote,and ztr code .Nwre,and zip Lode
(
Telephone Number E-mail
Under pen ties of perjury,I hereby certify that this Sales Disclosure,to the best of my owledge and belief,is true,correct
and co ete as aw,and is prepared in accordance with IC 6- 1-5.5,"Re op ty Sales Disclosure Act".
Signature of Seller natured el
Lance C.Alston uren L ton
Printed Name of Seller gn D to(MM/DD/YYYY) Printed Name of Seller Ign ate(MM/DD/YYYY)
BO §7%- THE 1 1 P elA'V 0RTl� r airignnUc'1?ONiiliNmIf&WMrt rAWNLI T'P14'_;.'
rian Christopher Fuhs Ashley Michelle Fuhs
f-urtMatop document Buyer2-Name as appears on conveyance document
802 E Park St 802 E Park St
Address(Number and Street.) Address(Number and Street)
Fort Branch,IN 47648 Fort Branch,IN 47648
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERT NTI THOSE THAT APPLY. FILED
NO CONDITION ES NO CONDITION116
Jun 15 1U10
❑ 1.Will this property be the buyer's primary 3.Homestead -�
residence? Provide complete address of primary l21 4.Solar-Energy Heating/CoolinAf
residence,including county: ❑ RI 5.Wind Power Device GIBSON COUNTY AUDITOR CB
11880 S Honeysuckle Ln
Address(Number and Street) ❑ Cif 6.Hydroelectric Power Device
Haubstadt,IN 47639 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
,State
❑ �j 8.Is this property a residential rental property?
ID 2.Does the buyer have a homestead in Indiana to be I�/
vacated for this residence? If yes,provide El County
Would you like to receive tax statements for this
complete address of residence being vacated, via e-mai ontact information
including county: below.Please see instructions form• •information.
Not available in all counties.)
Address(Number and Street) 2 •—22-12-300-002 .497-024
Bria - •
---- ichelle Fuhs
City,State ZIP Code County Primary property owner canto ctnome E-mail