HomeMy WebLinkAboutHomestead_StevensINUTANA SALES UISCLUSUKE FURM SUF IU: Pa e 2
D. PREPARER> �- ' ' - `- - '? - - -
Jeff Bosse General Manaaer
Preparer ofthe Sala Diulasure Form Title
501 Main Street Ste. 101 Bosse Title Comoanv
Address(NumberandSutttJ Company
Evansville IN 47708
E-mail
E. SELLER S GRANTOR S . -' ' � � ' - -- - - � - -' - - -
Scott St. Clair Sr. Kathrvn L St Clair
Seller I- Name as aypears on ronve}vnre dwvment Seller2 - Name as appears w ronvey/a�nt'eda'ummt
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Address(NUmberan vee[) Addres(Num6erandSOeetJ
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Ciry, Smm, andZlPCOde Ciry, Smre, anAZlPCode
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E-mail
Under p alties of perjury, t hereby certify that this Sales Disclosure, to [he best of my knowledge and belief, is [rue, correc[
and c lete as requ�r d b law and is pared in accordance wi[h IC 6-11-5.5, "Real Property Sales Disdosure Ac[".
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�(qna reof5elfer Signoalreo%Seler
Smtt St_ Gaic Sr. 1Saih�yn L St Clair
PnntedNameo Sefier SimDare wM DO PrintedNameo Seller Si nDale MM/OD
F. BUYER S GRANTEE S•-APPLICATION'FOR PROPERTY.TAX DEDUCTIONS`= IDENTIFY ALL ITEMS THAT APPLYi --=:' :. _.,"'-`'. ;
Roth A. Stevens
Buyerl-A'ameasap rsonronvryanredorumen[ Bvyer2�NameasappeanonronveyanaeAavment
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Address�(>Nvm6erandSveeQ Address(Num6erand5veetJ
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Giry, Sm[e, andZlPCade Ciry, Smre, and ZIP Lade
Tele honeNumbrr E�mail Tele honeNumber E-mail
TNE SALES DISCLOSURE FORM MAV BE USED TO APPLY FOR CERTAIN DEOIIRIONS FOR THIS PROPERTY. IDENTIFY ALL OF TNOSE TNAT APPLY.
YES NO CONDRION I YES YO CORORION
❑ 1. �Nill this property be the buyer's primary � 3. Homestead
residence? Provide complete address of primary � � 4. Solar Energy Heating/Cooling System
residence, including county: � �
S. Wind Power Device
Address(Numberand5veet) ❑ ❑ 6. Hydroelec[ric Power Device
❑ ❑ 7. Geothermal Energy Heating/Cooling Device
Ciry, Smte ZIPCade Counry
� � 2. Does the buyer have a homestead in Indiana to be � ❑$• �s [his property a residential rental property?
vaca[ed for this residence? If yes, provide ❑ ❑ 9� Would you like to receive Cax s[atements for this
mmple[e address of residence being vacated, property via e-mail? (Provide contoct information
including county: below. Pleasesee instructions for more information.
Not available in all counties.)
dddress (NUmber and Sare[)
Under penaltles of perjury, 1 hereby certify Ihat [his Sales Disclosure, [o [he best of my knowledge and belief, is [rue, correct
and comple[e as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disclosure Act". (Note:
Spouse informa[ion, Social Security and Driver's License/O[her numbers are not necessary if no Homes[ead Deducdon is
bei filed.)
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Signamre o(Buyed Signam�e o%Buyer2/Spouse
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