Homestead_Wells 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)
Chad E. Speicher Dee Cee B. Speicher
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
10710E505 10710E50S
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660 Oakland City, IN 47660
City,State,and ZIP Code City, State,and ZIP Code
'A
Act".
p.
/ fly V. /Lr V
Signature of Seller] Signature of Seller
Chad E. Speicher 6/17/2020 Dee Cee B. Speicher 6/17/2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. 131JYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL I . F MS T Fp (Pt Y
Joel L.Wells r
er - e as ppears on conveyance document Buyer 2-Name as appears on conveyance document
1750ECR375S itI 252Q?n
h Address(Number and Street) Address(Number and Street)
Winslow, IN 47598
City,State,and ZIP Code City, State,and ZIP Code
OfiemLifa
(
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDU OR THIS PROPERT . • FY ALL OF THOSE THAT APPLY.
YES NO CONDITION E NO CONDITION
X 0 1. Will this property be the buyer's primary V 0 3. Homestead
residence? Provide complete address of prim eating/Cooling System
residence, including county:
0 0 5. Wind Power Device
10710E 50 S El 6. Hydroelectric Power Device
Address(Number and Street)
Oakland City, IN 47660 Gibson 0 0 7. Geothermal Energy Heating/Cooling Device
C'y,State ZIP Code County 0 0 8. Is this property a residential rental property?
y� ❑ 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 propert via-email? (Provide contact information
ddres of residence bein acated, including county: elow. Please see in s'ir s for more information.
1 I5b g. 2 3 IS Not available in all counties.)
dress Number and Str;et) 8— O
Oft
(F, ` ' , 54S w, --)1-a--Son-00o.3� 0 6
In V l� "`- I I� . �� County 'rimary propcs -mail
City,State ZIP Code
ID/Other Number