Homestead_Vermillion INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Kathy Masterson CLOSING AGENT
Preparer of the Sales 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)
Carson D.Root Cing K.Root
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2491 N.Miller Reed Ln. - 2491 N.Miller Reed Ln.
Address(Number and Street) Address(Numberand Street)
Princeton,IN 47670 Princeton,IN 47670
City,State.and ZIP Code City,State,and ZIP Code
Telephone Number 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 complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature ofSeller Signature ofSeller
Carson D.Root 07/30/2020 Cing K.Root 07/30/2020
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
Robert Vermillion Mallory Vermilion
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1413 S.Metro Dr. 1413 S.Metro Dr.
Address(Number and Street) Address(Numberond Street)
Princeton,IN 47670 Princeton,IN 47670
THE SALES LOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY. FILE D
YES NO CONDITION YES O CONDITION
El1.Will this property be the buyer's primary ❑ 3.Homestead Oct 14 2020
residence? Provide complete address of primary
la—
residence,including county: ❑ 4.Solar Energy Heating/Cool]
❑ (tom 5.Wind Power Device GIBSON COUNTY AUDITOR CB
2491 N.Miller Reed Ln. El 6.Hydroelectric Power Device
Address(Number and Street) El ,--,'/
d,d 7.Geothermal Energy Heating/Cooling Device
Princeton,IN 476 0" Gibson ❑ E]' Is this property a residential rental property?
City,State ZIP Code County
❑ 9.Would you like to receive tax statements for this
El 2.Does the buyer have a homestead in Indiana to be property via e-mail? (Provide contact information
vacated for this residence? If yes,provide below.Please see instructions for mare information.
complete address of residence being vacated, Not available in all counties.)
including county:
Address(Number and Street) 26-05-31-200-003 . 817-027
City,State ZIP Code County Primary property owner contact name E-mail