HomeMy WebLinkAboutHomestead_Mcintire INDIANA SALES DISCLOSURE FORM SDF ID:__ 13 9 I 1 Page 2
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_Laura Rininger Closing Coordinator
Preparer of the Sales Disclosure Form Tide
7820 Eagle Crest Blvd Ste 201 Regional Title Services, LLC
dress(Number and Street) Company
lir ansville,IN 47715 812-759-5555
City,State,and ZIP Code Telephone Number E-mail
E?SE1LER S GRANTOR S..... ati_ 4' 'r' `.. . '' �c .. . '�`... �' ",g—:' iF:°�.a'.... '�'c' -
( )[ � ) rv.. ��: .v"��'-,a.��a`��-.,.,�� �.'�•r- . ....mot kn_. �.:.airzt�. ..~t F _.��m.• •,
Jeff Caudill
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
9551 Winyard Place
Address(Number and Street) Address(Number and Street)
Owensville IN 47665
Telephone Number E-mail
Under penalties of •erjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and cot I.t: as r q ired b law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
dill
Agitator.of'J Lr Signature of Seller
Jeff Caudill 06/260012
P ' ...,nnrt ,r. Si•n Date MM Douai I Printed Nameo Seller Sian Date AN 'Dilly
p3BUYERS),GRANT S°',=APPLICATIONI EOR'PROP,ERTfYgtAX:DEDUCTI nca11211TYYACLhITEMSTHATAPPILY_ ?t$: itr _
Jarrod McIntire 4 Cas andra McIntire
Buyer I-Name• rs on conveyance document Buyer 2-Name as opts•• • conveyance document
2451 Ashley Dr. Ashley Dr.
dress(Number and Street) Address(Number and Street)
Jeffersonville, IN 47130 Jeffersonville, IN 47130
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YF N^ amNDrJON
Ti ❑ 1.Will this property be the buyer's primary Ti ❑ 3.Homestea.
residence? Provide complete address of prima •- III Ti 4.S 1 - - Et Heating/Cooling System
residence,including county: ❑ SI 9904 Winyard Place 5.Wind Power Device
Address(Number and Street) ❑ Ti 6. Hydroelectric Power Device
Owensville, IN 47665 Gibson
7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ Ti 2. Does the buyer have a homestead in Indiana to be ❑ Ti 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ Ti 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)
(7%– /7'" 07- 100 -oos/02-9 dad
City.State ZIP Code County
Primary pro petty 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 Drivers License/Other numbers are not necessary Ino Homestead Deduction is
bei filed
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'attire of Buyer] vignette re ofBuyer2/Spo • `
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