Homestead_Stunkel INDIANA SALES DISCLOSURE FORM SDF ID: 1
fD FRE?AOI �w ° Paae 2
'^- ��,$ zta�' sd`�ii" ��i, z.� ..s ���"�^ kr-,-...�# '9�xF'`��r ss.„,to- �£,•y,•q .k „'' � 9
., .._.e:�„�, �''$"`�s�-,r_-r �+,*,K.,�i+.,,�.ah'n cs&.�,_ i�'�n?�`.e i.'��.�....„+a�.sd��.�,'.�,�w."��u,�.-:s: +���''��..k xi-n:�< `:�i�� �.�.>��-,`� •z�-_=�`' '�,�, n,'z�a�,�;
Chris Sullivan Closer
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville,IN 47715 (
a...a. eMMEMai IiifrfY w `3� '�`�0:4.���.,.-�N��. it. "..�--�-zMW;tSZ.e.SXZ �,"���a.-fVSr�*xxZMEP^, '".. jlaa~a
Christopher M.Cooper Emily L.Cooper
Seller I-Name as appears on conveyance document Seller 1-Name as appears on conveyance document
5812S325W 5812S325W
Address(Number and Street) Address(Number and Street)
Fort Branch,IN 47648 Fort Branch,IN 47648
.)
',
Telephone Number E-mall 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 uired by law,and is prepared in accordance with IC 6,- 1-5.5,"Real Property Sales Disclosure Act".
Signature of Se er L J Signature of Sell r 2� /(���
Christopher M.Cooper ' '2m(� Emily L.Cooper I 1�vlJ'�1J[11
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
: Aftlitglan'7 -Er ��}. 'ktfal ON`If_0'13�+Fr1t atIktn b.EDUf'fCOI`1SAID•NTIWAlatEYvl3.`tI3A'L A 1?L
Michelle Stunkel
Buyer 1-Name as appears an conveyance document Buyer 2-Name as appears on conveyance document
88 W 800 S Apt 3104 88 W 800 S Apt 3104
Address(Number and Street) Address(Number and Street)
Fort Branch,IN 47648 Fort Branch,IN 47648
mail Telephone Number E-mail
Jan 04 2021
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
1.Will this roe be the buyer's primary
GIBSON COUNTY AUDITOR CB
❑ property rty y p ' ry ❑ 3.Homestead
residence? Provide complete address of primary ❑ Q 4.Solar Energy Heating/Cooling System
residence,including county: ❑
905 Chickasaw Dr I71 5.Wind Power Device
Address(Number and Street) El If 6.Hydroelectric Power Device
Ft Branch,IN 47648 Gibson ❑ II 7.Geothermal Energy Heating/Cooling Device
City,state PCode County Elg_Is this property a residential rental property?
El 2.Does the buyer have a homestead in Indiana to be
El 10 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) 26-19-18-101-001.010-026
Michelle Stunkel
City,State ZIP Code County Primary property owner contact name E-mail
Number License/ID/Other Number