Homestead_Smith (7) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
1 D.PREPARER_
Kelly Norton _ - Escrow Officer
Preparer of the Sales Disclosure Form Title
1 101 Plaza East Boulevard, Suite 102 True Title Service, LLC
Address(Number and Street)
City,State,and ZIP Code Telephone Number E-mail
E.SELLER(S)/GRANTOR(S)
CHRISTOPHER COOPER EMILY COOPER
Seller 1-Name as appears on conveyance document Seller2-Name as appears on conveyance document
905 Chickasaw Drive 905 Chickasaw Drive
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 Fort Branch, IN 47648
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 equired jay law,and is prepared in accordance with IC 6_- .1-5.5,"Real Property Sales Disclosure Act".
CoolYA
Signature of ler Signature of Iler
CHRISTOPHER COOPER October 30,2020 EMILY COOPER October 30,2020
Printed Name ofSeller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYM
F.BUYER S GRANTEE Si-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT T APPLY
F AARON MICHAEL SMITH TARYN RENEE GOEDDE
Buyer 1-Name as appears on conveyance document Buyer2-Name as appears on conveyance document
103 South Weber Drive 103 South Weber Drive
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 Haubstadt, IN 47639
_ _ E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLYOV 0200
YES O CONDITION YES NO CONDITION {IG ---
❑ 1.Will this property be the buyer's primary ❑ '3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary ❑ 4.Solar Energy Heating/Cooling System
residence,including county: ❑ R"5.Wind Power Device
103 S weber DR
Address(Number and Street) �C� ❑ Q6.Hydroelectric Power Device
Haub, IN 47639 )
❑ E7.Geothermal Energy Heating/Cooling Device
City,State ZIP de County
izr-❑ 2.Does the buyer have a homestead in Indiana to be 0 •1s this property a residential rental property?
vacated for this residence? If yes,provide ❑ L7 .Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) 26-18-36-404-000.468-009
AARON MICHAEL SMITH smithaam22@gmail.com
City,State ZIP Code County
Primary property owner contact name E-mail
