Homestead_Thacker •
DIANA SALES DISCLOSURE FORM SDF ID: 2020 Page 2 •
). PREPARER
Claire Kincaid ESGP.m 0.� c_ct/
Preparer of the Sales Disclosure Form Title UU��
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street)
mail
E. SELLER(S)/GRANTOR(S)
Stanley J.May land Lisa A. May Revocable Living Trust dated iI /A December 5,2014Seller 1-Name as appears on conveyance document Seller 2-Name asappeai1conve.vance document
223E800S 22; E. Roo S
Address(Number and Street) Address(Number and Street) L
Fort Branch, IN 47648 r lc-- V(f`0 Cif), I IV 41
City,State,and ZIP Code City, State,and ZIP Code
E-mail
Jnder penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct
Ind comple as required by7 law, and is prepared in accordance with IC 6-1.1- 5,("Real Prop rty Sales Discl sure Act".
X '�ys T P, x �z � d_ rfr�t STP�
• /1 Signature of Seller
gnature of`Sep11Er I n n) 9 n y
Y I el(j V• I V f 7/28/2020 k S py A . I. ci A/' 7/28/2020
Printed Name of Seller Sign_ ate(MM/DD/YYYY) Printed Name of Seller u Sign Date(MM/DD/YYYY)
GRANT - L.oAn'ON_EQR PR_ TY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Karan A.Thacker
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears co ey ce document
512 S. 8th Ave.
Address(Number and Street) Address(Number and Street)n
Haubstadt, IN 47639 �G
- Telephone Ne6eL (?O"`�\f E-mail
SHE SALES DISCLOSURE F FOR CERTAIN DEDUCTION . ID 'dirOF-ILIOSE THAT APPLY.
CONDITION YES NO CONDITION
El 1. Will this property be the buyer's primary �4/ 0 3. Homestead O,Q
residence? Provide complete address of prima 0 0 4. Solar Energy Heating/ Doling System
residence, including county:
❑ 0 5. Wind Power Devic ,
906 Blackfoot Dr.
Address(Number and Street) ❑ 6. Hydroelectri wer Device
Fort Branch, IN 47648 Gibson 0 0 7. Geothermal Energy Heating/Cooling Device
City State ZIP Code County 0 0 8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be ❑ 0 9. 11Voul receive tax statements for this
vacated for this residence? If yes, provide complete property ' • ormation
2 Saddr s. of residence being vacated, including county: / below. Please see instructions for mor ' n.
I /� , ,,D / Not available in all counties.)
Address(Number and Street) f"TV C/ -' _ (' +,
Raul�o '-t-o1 i 7��' (�►f�s��1 I d — oC 0u -op( . �2 Co-Qay .
City,State ZIP Code County Primary property owner contact name • E- ail ,
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the ledge and belie 1s orrect 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.)
X VAAGLAk, 0 49r\aeY)0A
Signature of Buyer 1 Signature of Buyer 2/Spouse
Karan A.Thacker 7/28/2020 7/28/2020
Print Legal Na Ime of Buyer 1 x � Sign Date(MM/DD/YYYY) Print Legal Name of Buyer 2/Spouse Sign Date(MM/DD/YYYY)
Last digits of Buyer 1 Driver's State LastJigits of Social Security Number Last 5 digits of Buyer 2 Driver's State Last 5 Digits of Social Security Number
License/ID/Other Number License/1D/Other Number