HomeMy WebLinkAboutHomestead_Cowles INDIANA SALES DISCLOSURE FORM SDF ID: 2013 Page 2
D.-oREPARER
Teresa Holifield . Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville,•Indiana 47713 (812)425-0055 teresa @swinland.com
City,State, and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Paula J. Kolb
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
494 E. Petersburg Road
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
Telephone Number E-mail
Under nalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct
and mplete as required by law, and is prepared in accordance with IC 6-1.1-5.5, "Real Propeity Sales Disclosure Act".
e/.�-/'2? —
Signature'of 1>� Signature of Seller
Paula J. Kolb 3/28/2013 3/28/2013.
Printed Name of Seller ,Sign•Date7MM/DD/Y•.YYY);X Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)IGRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITEMS THAT APPLY
Anthony J. Cowles Michelle L. Cowles
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
329South 5th Ave,Apt#1
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 , IN
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION Y - NO - • •• •
0 O 1. Will this property be the buyer's primary I I ❑ 3. Homestead
residence? Provide complete address of primary ❑ p 4. Solar Energy Heating/Cooling System
residence, including county:
❑ 0 5. Wind Power Device
494 E Old Petersburg Road ❑ p
Address(Number and Street) 6. Hydroelectric Power Device
Princeton, IN 47670 ) Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
City, State ZIP Code County ❑ 0 8. Is this property a residential rental property?
❑ 0 2. Does the buyer have a homestead in Indiana to be ❑ 0 9. Would,you like to.receive.tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) 61/„_D
ll((// 5-3 /-x.00 -oan. SS 3-037
City,State ZIP Code County Primary property 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, andiis prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act (Note: Spouse
information,Social Security and Drivers LicenselOther numbers are not necessary if r{p/i�orrlesteaddDduction is being filed.)
Sig art fu~of Bu�I Signature of Buyer 2/SSpouse �/
Anthony.J. Cowles 3/28/2013 Michelle L. Cowles 3/28/2013
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