Homestead_McFarland IIIDISCLOSURE FORM
Michelle Havnes
�ovre� of Ne Salu Dixlnwre Farm
Main Streei Sie 101 _
Addrea (Number ond5treetJ
Closinq Aaent
rme
Bosse Title Comoanv
Company
Evansville IN 47708
Ciry, Sm[e, and ZIPCOde ielephane Number E-mail
&=SE�CER[S)%GRANTOR(S)'r • ? - -- � '� . . • .
c�..x williamc Amhr� William<
Shcer 1� Nome as appears on ronveyonae dacumml Seller 2- Name at a0pears on ronvryvnce docummt
F'1Al1 S 225 W
AdQrea(Numberond5vrey
Fnrt Rr�nrh ItJ q76Q$
Ciry, Srare, and Z/PCode
Addrm (NUm6er ond Svee[)
F rt Rranrh IN 47648 _
Ciry, Smre, and ZIPCOde
Under penal[ies f perjury, t hereby certify [ha[ Ihis Sales Disclosure, to [he best of my knowledge and belief, is true, correct
and c�� require �law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[".
, � ��.�„/ t�i��,!`a.upS
Signamre of5e1 er Signamre o%Seller
Bvyerl�Name
EMS THAT APPLY T..' •. i _.
Name as appears o�yance documen[
Addr� (Number and SveeQ
Owensville IN 47665 _
ZIPCade
THE SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN OEOUCTIONS FOR THIS PROPERN. IDENTIFY ALL OF TfiOSE Tf1AT TPPLI'.
Q � 1. Will this property be the buyer's primary <
residence? Provide complete address of primary
residence, including county:
Addrea(Num6erand5veey
Fort Branch IN 47648 _ Gibson
Ciry.Smu ZIPCode Counry
� Q 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
inciuding county:
Addres (Num6e� and Sveeq
[iry,
Counry
Q � 3. Homestead
. rgy Hea[ing/Cooling System
� Q 5. Wind Power Device
� Q 6. Hydroelectric Power Device
❑ ❑✓ 7. Geothermal Energy Heating/Cooling Device
� Q✓ 8. Is [his property a residen[ial rental property?
� ✓� 9. Would you like to receive [aac sta[ements for [his
property via e-mail? (Pravide contact informotion
below. Please see instructions%r more infarmation.
Not available in all wunties.)
�3( �d"-//- 3oa - oo/. �av -d� �
name E-mail
Under penal[ies of perjury, 1 hereby certify [ha[ [his Sales Disclosure, to the bes[ of my knowledge and belief, is true, correc[
and comple[e as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (Note:
Spouse informa[ion, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deductlon is
being filed.)
�ls�� l�� �G.r4�i G� ` % 2 �i�tc.w i r :� � r,, k- �-f - 1�-/ Z
�gnamre o/Bvyerl � Signamre o(Buyer2/Spouse
.'nnud Legal Name oJBUytr 1 Sign Dam (rN/DD/YYn7
License/ID/Other Number
Bosse Tftle Gompany
Ha�thar M'rhalP MrFadand 04I1RI7012
PnnredLegalNameo(BUyer2/Spouse SignDa¢(MM/oo/YYYY)
Las[Sdigi6ofBuyer2/SpouseD�iver's Smte Las[SDiglfsafSocialSecuriry
Number License/lD/O[herNum6er