Homestead_Smith (26) INDIA0NA SALES DISCLOSURE FORM SDF ID: Page 2
' D.PKEPARER
•
Krisitna L Watson Closing Agent
Prepare:-of the Sales Disclosure Form Title
501 Main Street,Suite 101 Bosse Title Company,LLC
Address(Number and Street)
E-mail
E.SELLER(S)/GRANTOR(S)
James C.Diel Sherry J.Diel
Seller I-Name as appears on conveyance document Seller2-Name as appears on conveyance document
3956 S.700 W. 3956 S.700 W.
Address(Number and Street) Address(Number and Street)
Owensville,IN 47665 Owensville,IN 47665
City.State,and ZIP Code City,State,and ZIP Code
Telephone Number E-mail Telephone Number E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Ad".
Signature of Seller Signature of Seller
James C.Diet 07/22/2020 Sherry J.Diel 07/22/2020 i
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Dote(MM/DD/YYYY)
F.BUYER )/GRAN EE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
ariah B.Smith
• c as appears on conveyance document Buyer 2-Name us appears an conveyance document
8400 Lincoln Ave.Apt A
Address(Number and Street) Address(Number and Street)
Evansville,IN 47715 FILED
THIS PROPER IWF?ALL OF THO PPLY. -/)�-„_�{/rq�
YES NO CONDITION YES NO CONDITION ]�lidif4��(��
OD ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary
residence,including county: 4.Solar nergy Heating/Cooling System-
❑ 5.Wind Power Device
3956 S.700 W. ❑ 44' 6.Hydroelectric Power Device
Address(Number and Street) ❑ 7.Geothermal Energy Heating/Cooling Device
Owensville,IN 47665 Gibson ❑ ' 8.Is this property a residential rental property?
City,State ZIP Code County
El 09.Would you like to receive tax statements for this
El 2.Does the buyer have a homestead in Indiana to be property via e-mail? (Provide contact information
vacated for this residence? If yes,provide below.Please see instructions for more information.
complete address of residence being vacated, Not available in all counties.)
including county:
Address(Number and Street) 26-10-36-200-001. 161-021 -
Gay,State ZIP Code County owner contact name E-mail
License/ID/Other Number
Lust 5 digits of Buyer I Driver's State Lust 5 digits oJ Social Security Number Lust 5 digits of Buyer A/SpouseDrtvers Slate Lust S digits ofSocial Security Number
License/ID/Other Number License/ID/Other Number