Homestead_VanFleet H. PREPARER
Preparer of the Sales Disclosure Form Title
Amanda Daly Settlement Agent
Company
Address(number and street.city.stale.country.and ZIP Code)
7820 Eagle Crest Blvd.Suite 201,Evansville,IN 47715
I. SELLERS)/GRANTOR(S) _
Seller 1-Name as it appears on conveyance document Seller 2-Name as appears on vee n document
David GruttadaurioEl
Address(number and street) Address(number and street)
• 915 E Kentucky Street • • SEp j ���J//
•
City,slate,and ZIP Code City,state,and ZIP Code 92022
Princeton,IN 47670 -_-.___ �G -- (---C----.
Country Country Bg r �
US ON Co,. •
UN -.74,141�.
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.A person who knowingly and intentionally falsifies the value of transferred
real property,or omits or falsifies any information required to be provided,commits a Level 5 felony.
i Lure o e er Signature of Seller
el
Pn� riled Name of Seller Date signed( m/dd/YYYY) Printed Name of Seller Date signed(mm/dd/yyyy)
David Gruttadaurio Pa ( ! od
J. BUYER(S)/GRANTEE(S)-APPLICATION F R PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 1-Name as it appears on conveyance document Buyer 2-Name as it appears on conveyance document
Thomas W.VanFleet
Address(number and street) Address(number and street)
2352 E.Main St. -
City.state.and ZIP Code City.slate,and ZIP Code
Decatur,IL 62521
Country Country
US
for certain deductions.Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
1.Will this property be the buyer's primary l D 3.Homestead
OKI D residence? 0 (g 4.Solar Energy Heating or Cooling System
2.Does the buyer have a homestead to be vacated 0 t2 5.Wind Power Device
D for this residence?If yes,provide address: p f 6.Hydroelectric Power Device
Address(number and street) 0 (N 7.Geothermal Energy Heating or Cooling Device
City.state.ZIP code.and county a -\t_\ l _A O\_O^t \ 2-(-\ \ _0 2$
5