Homestead_Tedrow H. PRERARER
Prepanarof the Sales Disclosure Form Th|a
ChhxtoD.Tracey Escrow Officer
Company
Address (number and street, city, state, country and ZIP code)
805 SE Martin Luther King JrBoulevard, Evansville IN United States ofAmerica 47713
|. SELLER(8)/GRANTDR(S)
Seller 1 -Name ooit appears on conveyance document Seller 2-Name aei1appear,Pr ument
Spm Development, INC dboRainbrouht Homes by J14
1? �
Address (number and street) Address (number and street) ��
304 ESR68 ~u/K 2D'
City. State and ZIP Code City. State and ZIP - 02
Houbotodt. |N 47639 . '
Country Country ell'"u,
United States nfAmerica
o/
/� �
Under penalties of perjury, I hereby certify 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.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.
S Signature ofSeller
' tl
PhnhadNamaofSeUar Date signed(mmlddlyyyy) Printed Name ofSeller Date signed(mm/ d/yyy0
8pnnDovo|u INC dba Rei brecht
Homes by [}�
J. BUYER(S)IGRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL THAT APPLY
Buyer 1 -Name asit appears on conveyance document Buyer 2-Name asit appears on conveyance document
Jessica Tedrow Logan Tedrow
Address (number and street) Address (number and street)
1924S Oakdale Dc 1024S0akda|oD�
^ State and ZIP Code City, State and ZIP Code Co� ^� ���
n�m�v '°' .
Bloomington, IN 47403 Bloomington, IN 47403 .
Counhy Country '
United States ufAmerica United States ofAmerica
E-mail address
apply for certain deductions, Identify all of those that apply:
YES NO CONDITION YES NO CONDITION
2 O 1. Will this property bo the buyer's primaryreuidenoe? z O 3. Homestead
�~ O EO 4. Solar Energy Heating nrCoohng System
O �� �. Donn�hebuyerhovnahome��eod �ubnvacotodfnr O 2 5. VWndPower Device
this residence? |f yes, provide address:
O E5 G. Hydroelectric Power Device
Address (number and street) O GD 7. Geothermal Energy Heating nr Cooling Device
City, State,ZIP code, and county
6 -0` /2�~~ _ 6 0 1/. B�����^- ^��� -J
Under penalties uf perjury, |hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete