HomeMy WebLinkAboutHomestead_SollmanFORM SDFID:
Sherri S Hudson
Prepa�er o(rhe Svlrs Disdosure Form
Title
;i _
605 SE MLK. Jr. Blvd Southwestem Indiana Land Title Inc.
Address (Number and Street) Company
Evansville, IN 47713
Ciry, Smte, andZ/PCode Te/ephoneNumber E-mai/
Richard L Biankenshin
Seller ]- Name as appears m conveyonce davmenc
�"io� c.> Sa o S
G�! �-F7� i � -
andZlPCode
E-mail � E-mail
Under pe Ities of perjury, I hereby certify tha[ this Sales Disdosure, [o [he best of my knowledge and belief, is true, correct
and c lete as required by law, and is prepared in accordance with IC 6-11-5.5, "Real Property Sales Disdosure Act".
.�.�. 7 ��'''' ��(�� �"� i-°�� l�. %..� � f.�-rt.�,,.dl,,,o
' Signamreo(Seller " Signamreof5elle�
�._�_.� � o�__�,_.._..... %�d� Y Rnlh 4nn RI�nLone6in �/ � 131 i�
ronveyonce daumen[
Addrus (h'umberand Street)
ON FOR PROPERTY�TAX
Amanda M.Sollman
Buyer 2� Name as appeurs an canveyance documen[
1655 West 1200 South
Address (Number and StreetJ
Y- •
Haubstadl. IN 47639 Haubstadt IN 47639
;��� (�►?� �
TeleOhoneNumbv E-mail �elephoneNvmber E-mail
THE SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIY OEDUCfI0Y5 FOR THIS PROPERTY. IDENTIfY ALL OF TNOSE THAT APPLY.
YFS NO COSDITIOY
� 1. Will this property be the buyer's primary �
residence? Provide complete address of primary
residence, including county:
�il �: J LJ.� °�J�i _l
Addrgss (XUm6er and Svee[J
L;1'i'h i N-v� ._iN 7; I 1 �� 1�.�n
Ciry.Sta zl Code Counry
� � 2. Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes, provide
complete address of residence being vacated,
including county:
Addrus(Numberand5tree[J
Ciry, SmteZlPCOde Counry
� 3. Homestead
u . ergy eating/Cooling Sys[em
� Q S. Wind Power Device
� ❑✓ 6. Hydroelectric Power Device
❑ ❑✓ 7. Geo[hermal Ener�+ Hea[ing/Cooling Device
� Q 8. Is [his property a residential rental property?
� ❑✓ 9. Would you like [o receive tax statements for this
property via e-mail? (Provide tontact information
6elow. Please see instructions for more information.
Natavailable in all counties.)
��0-17-.Z�-ioo-oo0. /3 �-oa../
ownerconmctname
E-mai/
Under penal[ies of perjury, l hereby certify that 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, "Real Property Sales Disclosure Act". (Note:
Spouse information, Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
bei�), filed.) �
�V .��+-� w. C2�p�� ✓'�. • �//�9,cr---
5(qnaNre af Buyerl SgnoNre o(Buyer2/Spaus�
nr,.�.,.i...- i enllman �_ I�— I�
Pnnred Legal Name o/Buyer 1 5(qn Date (MM/DD/YYYI')
�
LastSDigiaofSocialSeruriryNum6er
License/10/Other Num6er
n....,,.a.. .n c„iiman
PrinledLegalNameofBuyer2/Spouse $qnDate(MM/DD/YYYY)
)
Num6er License/!D/OfherNumber