HomeMy WebLinkAboutHomestead_Helmer (2)INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2
' ' _ _Pr. ' � . F �#ir F — � = et �... �!"' Y- 4, ♦ _ .
?D2PREPARERx ` .`� -
.
r :f�: v .h � .. �, va.4_- s,��.-'- «.. .,_ ? �.�= v-'3_ - £'� 4�4-�s?__.. _ 3t ._ — ..a .'?c. '��p �-i' � _ �. , s.-
�
Christooher E. Carl Settlement Aoent
Preparrfa/NeSalaDBdasvreForm litle
101 Plaza East Blvd. Suite 102 Trve Title Service LLC
Addras (Nvmber and StreetJ Compan}�
Evansville IN 47715 f8121402-6555
Ciry, Sm[G and ZIP lode Telephone h'umber E-matl
�E.'SELL'ER S .GRANTOR 5 �, � � 9 =
.. .-- r' . _sa-�...'.�z-. .1 . < _ _t .:..,::.z. .s .. -. `.'�-�
�_�' �,. �r-,?�` . �a �A'_� . ..n:�-, a
Matthew C Helmer
Seller 1- Name os appevrson ronveyanre docvment Seller2 � Nome as oppeoa om m�vevonce docvment
4dt7 S 1?S F
Addr� (Number and Sneet) Addr¢c (Number and So-eet)
Prinr.Pton IN 47R70
Tele honeNumber E-mail
Under penal[ies of perjury, I hereby certify that this Sales Disclosure, to [he best of my knowledge and belief, is true, correct
and comple[e as required by law, and is prepared in accordance with IC 6-11-S.S, "Real Property Sales Disclosure Act".
�� ��
Sjgnaare ofSeller Sjgnawre o(Seller
MatthPw C Helmer � � l� � I2013
PnnraiNameof5d/er 5'anDatefMMDO PdnredNameoSeller SianDa[el.xM/DD
_ _. - _ __ —. _ _ . _ - - . .�..
'F?BUYER S -GRANTEE S „AP.PLtCATIONiF.OR�PROP.ER'[YtTAX�.DEDUCTIONS=;IDENTIF.Y,AL'L�ITEMS.THATAP,BLY-. °_.,�-.i �
Michael B Helmer Karen S Helmer
Buyer ]- Name as appears on ronveyanre dacvment Bwer 2- Name as appears on ronveyonce docvment
3417 S. 125 E. 3417 S. 125 E.
Addrw (Number and Svee[) Addres (Number and Stree[J
Princeton IN 47670 Princeton IN 47670
TNE SALFS DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAI� DEDULl70NS FOR THIS PROPERTY. IDE�TIFY ALL OF THOSE TNAT APPLY.
YFS RO COYDRION I YFS NO COYDITION
❑J ❑ 1. Will this property be the buyer's primary �✓ � 3. Homestead
residence? Provide complete address of primary � � 4. Solar Energy Headng/Cooling System
residence, induding county:
'ta17 c 125 E ❑ ✓Q S. Wind Po�ver Device
Addren(NUmberand5vee[) ❑ ✓Q 6. Hydroelectric Power Device
Pnnceton IN 47670 Gibson � Q 7. Geothermal Energy Heating/Cooling Device
Ciry, 5mre7JPCode Counry
� � 2. Does [he buyer have a homestead in Indiana [o be � � 8� �s [his property a residen[ial rental proper[y?
vacated for this residence? If yes, provide ❑ �❑ 9. Would you like Yo receive ta�c statements for this
complete address of residence being vacated, property via e-mail? (Provide contact in(ormotion
including county: below. Please see instr-ucdons for more in%rmation.
n Not ava�il/able in all coundes.
Addr�.s (Numberand Stree[) �/ � /� � [�� � TifO /a �� �
� CX/ v�
ic�el8 Helmer
Ciry, Smre ZfPCOde Counry
Pnmary propem owner conruct nome E-mail
a�