Homestead_Tuley M INDIANA SALES DISCLOSURE FORM SDF ID:
D.PREPARER Page 2
1 Kris Watson Closing Agent
Preparerof theSales Disclosure Form Title
501 Main Street,Suite 101 Bosse Title Company,LLC
Address(Number and Street)
E.SELLER(S)/GRANTOR(S) . E-mail
Alyssa Lynn Ricker f/k/a Alyssa Lynn Freeman '
Seller 1-Name as appears on conveyance document Seller 2-Name
as appears on conveyance document
203 N.Main St
Address(Number and Street) Address(Number and Street)
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 Act".
Signature ofSeller Signature ofSeller
Alyssa Lynn Ricker f/k/a Alyssa Lynn Freeman 08/03/2020 08/03/2020
Printed Name ofSeller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Garrett Tuley
Buyer 1-Name as appears on conveyance document Buyer2-Name as appears on conveyance document
68 W.800 S.Apt 8305
Address(Number and Street) Address(Number and Street)
Fort Branch,IN 47648
E-mail Telephone Number
Aug 04 2020 E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. _jt/
YES NO CONDITION YES NO CONDmONSIZI j)�{
0 1.Will this property be the buyer's primary 0 i 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary
residence,including county: El4.Solar Energy Heating/Cooling System
❑ 5.Wind Power Device
203 N.Main St. ❑ 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
❑ 9.Would you like to receive tax statements for this
❑ 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)
26-17-01-404-000.114-022
City,State ZIP Code
County Primary property owner canto cc name E-mail
License/ID/Other Number
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 Act".(Note:
Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.)
Signature of Buyer1 Signature of Buyer2/Spouse
Garrett Tuley
Printed Legal Name of Buyer 1 Sign Date(MM/DD/MY) Printed Legal Name of Buyer2/Spouse Sign Date(MM/DD/YYYY)
IN
Last S digits of Buyer 1 Driver's State Last 5 Digits ofSocial Security Number Last 5 digits of Buyer2/Spouse Driver's State Last 5 Digits ofSocial Security
License/1D/Other Number Number License/ID/Other Number