Homestead_Adams (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Kelly Norton Escrow Officer
Preparer of the Sales Disclosure Form Title
101 Plaza East Boulevard, Suite 102 True Title Service, LLC
Address(Number and Street) Company
Evansville, IN 47715 (
City,State,and ZIP Code Telephone Number E-mail
i E.SELLER S GRANTORD — - _T _M-
FIRST STREET, LLC
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
10095 S 400 W
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648
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 comp ete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
M16j
Signa e ell r Signature of Seller
ALA ATTHEW WOLF July 27, 2020 July 27,2020
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name ofSeller Sign Date(MM/DD/YYYY)
F.BUYER S GRANTEE S -APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
GARY W.ADAMS
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
6114 South 175 East
Address(Number and Street) Address(Number and Street)
Fort Branch,IN 47648
E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT AI'PtY! 18 2020
YES NO CONDITION YES NO CONDITION "
[✓]�❑ 1.Will this property be the buyer's primary f ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary [2314.Solar Energy Heating/Cooling System
residence,including county: rL,I(
LO.7 �o /gT Sr�T ❑ Wind Power Device
Address(Number and Street ❑ L'I 6.Hydroelectric Power Device
��'s_$�" '��� [ 77 tgt 8.$ 1') 0 [; 7.Geothermal Energy Heating/Cooling Device
City,State ZIP a County Ile
❑ 2.Does the buyer have a homestead in Indiana to be ElL��/ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 1S 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
below.Please see instructionsfor more information.
including county: f
Not available in all counties)
Address(Number and Street)
GARY W.ADAMS 26-18-06-303-000. 339-022
Number License/ID/Other Number