HomeMy WebLinkAboutHomestead_Ayers (3)INDIANA SALES DISCLOSURE FORM SDF ID:
D. PREPARER. • _ _ - _.
Preparer o(the Sol6Oiulorure Form
501 Main St. Suite 101
Addres (h'umber and SveetJ
Evansville. IN 47708
Ciry, Sru2, andZlP Code
E.SELLER(Sl/GRANTOR(Sl • .
Closina Aaent
Title
Bosse Title ComoanY
E-mail
Seller 2- Name as oppears w mnveyvn�e docvmene
Addres (,Vumbe� and Saee[)
Liry, Smre. and 21PCode
Under penaldes of perjury, 1 hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and complete as r`equir��by I�jO, and is prepared in attordance with IC 6-1.1•5.5, "Real Property Sales Disclosure Act".
Jay M. Ayers
Buye� 1- Name as appears m mnveyance davmen[
4044 E. State Road 68
Addres (A'umber and Svee[)
Signomre o/Seller
Jan M. Avers
Bvyer 2- Name as apPears on tonveyanre darument
4044 E. State Road 68
Address (Nvmber and StreetJ
Haubstadt. IN 47639
Ciry, Sm[e, and ZIP fode
/ �/-. � �{ S�% % $� %
THE SALES DISCLOSIIRE FORM AUV BE IISEO TO APPLY FOR CERTAIN DEDURIONS FOR THIS PROPERTY. IOENTIFY ALL OF THOSE THAT APPLY.
� 1. Will [his proper[y be the buyer's primary
residence? Provide comple[e address of F
.�q re�idence�ncluding tounty: �Q�t� �1
5 N>sYnnlL �ti- �'O
� � 2. Does �he buyer have a homestead in Indiana ro be
vacated for this residence? If yes, provide
comple[e address of residence being vacated,
including county:
Addresx (Number and Stree[J
Ciry, Smre ZIPCade Counry
YES NO CONUITIOY
�✓ � 3. Homestead
� Q 4. Solar Energy Heating/Cooling Sys[em
n �✓ 5. Wind Power Device
� Q 6. Hydroelectric Power Device
❑ Q 7. Geofhermal Energy Heating/Cooling Device
� Q 8. is this property a residencial rental property?
❑ 0✓ 9. Would you like [o receive tax statemen[s For this
property via e-mail? (Provide contact informotion
below. Please see instructions%r more information.
Not available in all rounties.)
���3 -i�-�oo �� 06 � -oay
AimarvumoerNawnerconmv[name E-mail
Under penalties of perjury, 1 hereby cerdfy that this Sales Disclosure, to the best of my knowledge and belief, is true, correc[
and comple[e as required by law, and is prepared in actordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Ac[". (No[e:
Spyuse-iqformadon, Social Security and Driver's License/Other numbers are no[ necessary if no Homes[ead Deducdon is