Homestead_Barnett INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Kris Watson C''.(.,6-1 Q 1 ,'
Preparer of the Saks Disclosure Form Title "'
501 Main Street,Suite 101 Bosse Title Company,LLC
Address(Number and Street) Company
Evansville,IN 47708 (
E-mail
E.SELLER(S)/GRANTOR(S)
Nicholas T.Pegram Jalia D.Pegram
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
305 N.First St. 305 N.First St
Address(Number and Street) Address(Number and Street)
Owensville,IN 47665
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 1 w,and is prepared in accordance with *1.1-- \,"Real mop. Sales Disclosure Act".
ignature of Seiler Signatur +elks-
Nicholas T.Pegram 09/24/2020 Jalia D. •egram 09/24/2020
Printed Name ofSeller 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
Alexander Brian Barnett Sara Salome Barnett
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
316 Delaware St. 316 Delaware St.
Address(Number and Street) Address(Number and Street)
Evansville,IN 47711 Evansville,IN 47711
E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. 4imeiliztir-
YES NO CONDITION YES NO CONDITION
tg0 1.Will this property be the buyer's primary ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary
residence,including county: CI ClEr 4.Solar Energy Heating/Cooling System
❑ 5.Wind Power Device
305 N.First St. ❑ 6.Hydroelectric Power Device
Address(Numberand 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
❑ICS2.Does the buyer have a homestead in Indiana to be property via e-mail? (Provide contact information
.vacated for this residence? [Eyes,provide below.Please see instructions for more information.
complete address of residence being vacated, Not available in all counties.)
including county:
316 Delaware St
Address(Number and Street)
Evansville IN 47711 Vanderburgh 26-18-07-101-000. 055-022
City,State ZIP Code County Primary property owner contact name E-mail