Homestead_Virden INDIANA SALES DISCLOSURE FORM SDF ID: 2020 Page 2
D. PREPARER
Abbigail Moers
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard — Southwestern Indiana Land Title
Address(Number and Street)
mail
E. SELLER(S)/GRANTOR(S)
Glen A. Ramsey Tomi D. Ramsey
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
707 E.Tretter Park Dr. 707 E.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
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 ICX6-1`1--5.5,"Real Property
/�Sales Disclosure Act".
I\ ,+ 61 1 t/"k�� ,. / `c �/ �.. cS. Ifs
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Signature of Seller Signature of Seller
Glen A. Ramsey Tomi D. Ramsey .. __
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of SelleriJ (14M/DD/YYYY)
UF. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITL144./97F4tie
P1F1
Nick Virden Troy D.Virden s� �i
buyer f Name as appears on conveyance document Buyer 2-Name as appears on conveyanCe�cc24t2026
6808 W 450 S 6808 W 450 S
Address(Number and Street) Address(Number and Street) /), • I
Owensville, IN 47665 Owensville, IN 47665
E-mail
THE SA DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FORT IS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES N8t'I•lO1)l._
❑ 1. Will this property be the buyer's primary _ I ❑ 3. Homestea"
residence? Provide complete address of primary I ❑ p 4. Solar Energy Heating/Cooling System
residence, including county:
❑ 0 5. Wind Power Device
707 E Tretter Park Dr.
Address(Number and Street) 0 lI 6. Hydroelectric Power Device
_____._......_........._..._._....___ _........_ ❑ p 7. Geothermal Energy Heating/Cooling Device
Fort Branch, IN 4 648 1 Gibson
City, State Z ode County 0 El 8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be 0 El 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
.016 - lg-18 - .job,- 0400 . /87 -°Oa-4
City,State ZIP Code County . Primary property owner contact name E-mail
