HomeMy WebLinkAboutHomestead_Maurer •
•
INDIANA SALES DISCLOSURE FORM SDF ID: - Page 2
D.PREPARER
Chris Ferguson Closing Agent
Preparer of the Sales Disclosure Form Tide
501 Main St.Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville, IN 47708
E-mail
E SELLER(S)/GRANTOR(S). . _- - .
Cindy L Hobson
Seller l-Name as a�p ean�i n conveyance docvi�nt /� Seller 2-Name as appears on conveyance document
/f7 e C.o.isUuaka)
(Number and Street) Address(Number and Street)
RIA 4 ,1 d 4'7410
E-mail Telephone Number E-mail
Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an• •mple e as req ire by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
/ br. —•
Signature of j Signature of Seller
Cindy Hobson 01/31/2013
Pri
Siqn Date(M.M/DD/YYM Printed Name of Seller Siqn Date(MM/DD/rvn)
.BUYER(S)/GRANTEE(S APPLICATION.FORPROPERTYTAXDEDUCTIONS-IDENTIEY-ALCITEMS.THATAPPLY.
t Blake W.Maurer Kelly L. Maurer
. ..pears on conveyance document Buyer 2-Name as appears on conveyance document
110 r .: e:..e Drive 11010 Goldridge Drive
Address(Number and Street) Address(Number and Street)
Evansville, IN 47720 Evansville, IN 47720
City,State,and ZIP Code City,State,and ZIP Code
E-mail Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION —' +"— NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homeste••
residence? Provide complete address of primary • ri 4.Solar Energy Heating/Cooling System
residence,including county:
300E Locust SL 0 5.Wind Power Device
Address(Number and Street) • 0 6.Hydroelectric Power Device
Ft.Branch, IN 47648 Gibson
City,State Z Code - CouCounty 0 7.Geothermal Energy Heating/Cooling Device
❑ W/IP 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.1s this property a residential rental property?
vacated for this residence? If yes,provide ❑ NI 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
Not available in all Counties.)
Address(Number and Street)
City,State ZIP Code County f��'/ Z& lab e 123—Oa6
Primary pmperry owner contact name E-mail
Under penalties of perjury,I 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
being filed.)
i 4/4 L. 71
Signature of Buyer! Signature of Buyer?' use
Blake W Maurer 01/31/2013 Kelly I Maurer 01/31/2013