HomeMy WebLinkAboutHomestead_Shoults INDIANA=SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
rista Kingsbury Closing Manager
eparer of the Sales Disclosure Form Title
_501 Main Street, Ste. 101 _ _ _Bose Title Company
Address(Number and Street) Company
Evansville,IN 47708 812-421-4000
City.State,and ZIP Code Telephone Number E-mail
I E.SELLER(S)/GRANTOR(S)__ -Robert A Miller Darlene F Miller
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
914 S Stormont St 914 S Stormont St
Address(Number and Street) Address(Number and Street)
Princeton Itttttt``````���LLL47670 [� Princeton IN 47670
Telephone Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an omplete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
ei Pit.-1 - l -Qat Yhs,
I F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY.-
Christopher k Shoults
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
509 E Montgomery Street
dress(Number and Street) Address(Number and Street)
�
ensville,IN 47665
City, 42W Cade I City,State,and ZIP Code
Telephone Number E-mail 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 0 CONDITION
YES NO CONDITION
❑ 1.Will this properly be the buyer's primary 11Cl ❑ 3.Homestead
residence? Provide complete address of primary ❑ Solar Energy Heating/Cooling System
A re ee ce,i clur'ngcqun •
_I`�(- , '� ❑ ,�,/5 Wind Power Device
Add r ss Nua, ran Srre.) --IC .,,, 1 I.� --�'71 (!�j 6.Hydroelectric Power Device
.�/ 1 � 1' i `t V (06/jai 11/.Geothermal Energy Heating/Cooling Device
City,State ZIP Cod" County
El Does the buyer have a homestead in Indiana to be ❑ Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 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) A e. -1 a -1 F - aV a /CI a 77b OaX
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,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.)
-
nature of Buyer! -I Signature o/Buyerl/Spouse
Number License/ID/Other Number