Homestead_Hostettler INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Tim Shea
Closer
Preparei of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services •
Address(Number and Street) Company
Evansville,IN 47715 (
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Gaylor Electric,Inc.
Seller 1-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
5289 N 775 E 5289 N 775 E
Address(Number and Street) Address(Number and Street)
Patoka,IN 47666 Patoka,IN 47666
Sta ce,
Number E-mail
nder penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my lcnowledge and belief,is true,correct
n plete as re wired y law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
•
Sig ature ofSe er Signature of Seller
Jai es R. Cr ws Jr.,Chief Financi Officer 3/1. /7.,nzo
P nted Name f Seller ' Sign Date( 6f/OD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
;F A 'MY GRANTEEMPIPPLIC-ATIONTORPRDPERTYVAktEDUCTIONS2IDENTIVY ALL ITEMS THAVAPPLV.ij
Matthew D.Hostettler Michelle Hostettler
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1002 S Main Street 1002 S Main Street
Address(Number and Street) Address(Number and Street)
Fort Branch,IN 47648 Fort Branch,IN 47648
Tetel7(lehr20 umber E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.Aug 21 2020
YES NO CONDITION YES NO CONDITION )0/10ecktr'—
VP) El 1.Will this property be the buyer's primary f.) El 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary 0 0 4.Solar Energy Heating/Cooling System
residence,including county:
5289 N 775 E 0 0 5.Wind Power Device
Address(Number and Street) El El 6.Hydroelectric Power Device
Patoka,IN 47666 Gibson El El 7.Geothermal Energy Heating/Cooling Device
City,Sta IP Code County 0 0
8.Is this property a residential rental property?
El 2.Does the buyer have a homestead in Indiana to be
4
El El 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 for more information.
including county: Not available in all counties.)
Address(Number and Street) 26-06-16-100-002A 500-017
Matthew D.Hostettler Michelle Hostettler
City,State ZIP Code County Primary property owner contact name E-mail