Homestead_Clutter INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
14,110 RER
Amanda Daly Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street)
Austin W. Sisk
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
204 N Hull Street 204 N Hull Street
Address(Number and Street) Address(Number and Street)
Fort Branch,IN 47648 Fort Branch,IN 47648
Disclosure,to the best of my knowledge and belief,is true,correct
and col let quied. 1 nd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller NM
Signature of Seller
Austin W. Sisk
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
VKIIINERMAIZAIWEEMMAIVIiicAtIONTMiPliciPtIMUtD RUCTIONS .,1D'ENTIFY ALCITEMS}THATFAPPLMV__! ,r.,z
John C.Clutter
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
201 W Haub St 201 W Haub St
Address(Number and Street) Address(Number and Street)
Haubstadt,IN 47639 Haubstadt,IN 47639
APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. ,
YES NO CONDITION YE NO CONDITION
El1.Will this property be the buyer's primary ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ I 4.Solar Energy Heating/Cooling System
residence,including county: ❑ Q 5.Wind Power Device
204 N Hull St
Address(Number and Street) ❑ El 6.Hydroelectric Power Device
Fort Branch,IN 47648 Gibson ❑ Cl 7.Geothermal Energy Heating/Cooling Device
City,State P Code County ❑ 8.Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 9.Would you like to receive tax statements for this
vacated for this residence? If yes,provide property via e-mail?(Provide contact information
complete address of residence being vacated, below.Please see instructions f for more information.
including county: Not available in all counties.)
Address(Number and Street) John C.Clutter 26-19-18-304-000. 706-026
City,State ZIP Code County Primary property owner contact name E-mail
Number License/ID/Other Number