HomeMy WebLinkAboutHomestead_Henrich INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D`.PREPARER'''; ., ^. 7:-,. .,-...":-:7:::::;,,.4 . r ', . - -,r : . - r --.I";
Laura Rininger Closing Coordinator
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services, LLC
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555
City,State and ZIPCode Telephone Number E-mail
E:SELLERS)/GRANTOR(S)' •= .' ' •' � '
Rachel S Hunter Reiriford aka Rachel S Kell
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
403E Walnut St
Address(Number and Street) Address(Number and Street)
Ft Branch IN 47648
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a complete s required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller f Signature of Seller
Rachel S Kell 10j'Limo
Printed Name of Seller Sian Do a IMM/DDMY1) Printed Name of Seller Sian Date(MM/DD/Y111
-F.BUYER(S)/GRANTEE(S)' APPLICATION•FORPROPERTYTAXDEDUGTIONS-IDENTIFYALL 1 T • '1' • ' ' - _ _ - _.
Ryan Henrich • : :
Buyer I-Name as appears on conveyance document Buyer 2-Name os appears on coney .ce, (m':7 " !•0"
350 Kimber Lane
Address(Number and Street) Address(Number and Street) JUN 18 ZU13
Evansville, IN 47715
THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION S. .
0 ❑ 1.Will this property be the buyer's primary - 0 ❑ 3.Homestead
residence? Provide complete address of primary • 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
403E Walnut St 5.Wind Power Device
Address(Number and Street) ❑ I§1 6. Hydroelectric Power Device
Ft. Branch, IN 47648 Gibson ❑ 0 7:Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
Q ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 1g 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)
ox,-)q-173303 -coo. 't'4.9-od6
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
' g filed.)\{\y``D
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Signs. re of Buyer] Signature of Buyer2/Spouse
Ryan Hendrh co/la hei3 __
Number License/ID/Other Number