Homestead_Jones (5) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER �^
Christina Lenfers 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. ELL R S)/GRAN OR )
Sell rl•Name atappe rsanrnnve�ce•ocumente 4. ' q t r1,914- 4541ettS a 1 r eleS
Seller 2-Name as appears on conveyance document
(0W 3003
Address(Number and Street) Address(Number and Street)
City,State,and
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 c pl t as uired by law,and is r par ji accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Fll'
Signature of Seller Signature ofSeller
ASHLEY J.BAEHL fma ASHLEY J.JONES 12/07/2020
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
Ryan W.Jones
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
409 S.Bradley Dr.
Address(Number and Street) Address(Numberand Street)
Haubstadt,IN 47639 -
E-mail Telephone Number Deu 21 2020 E-mall
iisucceia ,r
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
0 1.Will this property be the buyer's primary 1`-'• ❑ 3.Homestead GIBSON COUNTY AUDITOR CB
residence? Provide complete address of primary
residence,including county: 0 ,E 4.Solar Energy Heating/Cooling System
❑ 1 5.Wind Power Device
409 S.Bradley Dr. ❑ ►_'a _ 6.Hydroelectric Power Device
Address(Number and Street)
❑ T, 7.Geothermal Energy Heating/Cooling Device
Haubstadt,IN 47639 Gibson ❑ O. 8.Is this property a residential rental property?
City,State ZIP Code County m-
❑ •i, 9.Would you like to receive tax statements for this
❑ [ 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 more information.
complete address of residence being vacated, Not available in all counties.)
including county:
Address(Numberand Street) 2 6-2 3—06-101-000.668-009
License/lD/Other Number