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HomeMy WebLinkAboutHomestead_Stachura INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 {W..P,REPARERd ' +r- ' `4 ,�_-i. .J"'. r.-r-r, 9 -. --- : v: ;-'S 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 ZIP Code Telephone Number E-mail -EYSELIER — _-1 7- °s. - "_ 1 (S)/GRANTOR(S)i - .='. .� .. .. s.,;�:,�r _ , .s,`.'"', . .—. _ /..•' Michael J Sluder Jennie I Sluder Seller 1-Name as appears on conveyance docum Seller 2-Name as appears on conveyance documen = cm a E , Wilk N. lift9f1-71*Y3 r90 5 1. Ai Mk , Address(Number and Street) Address(Number and Street) Owensville IN 47885 Owensville IN 47665 City,State,and ZIP Code City,State,and ZIP Code 53 12 - )2q - 1ng* C I.2 - ')).11- 11,095 Telephone Number E-mail 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 and corn jlete s required( an is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". An•rew Stachura___- Aimee Stachura "- a. - •ame as appears on conveyance document Buyer2-Name as appears on conveyance document 3649 Aberdeen Ct. 3649 Aberdeen Ct. Address(Number and Street) Address(Number and Street) Evansville, IN 47725 Evansville. IN 47725 THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION YES n rnunI l 0 ❑ 1.Will this property be the buyer's primary I ❑ 3. Homestead ) residence? Provide complete address of primary NI 4.Solar Energy Heating/Cooling System residence,including county: 4898 S 700 W 5.Wind Power Device Address(Number and Street) ❑ igi 6. Hydroelectric Power Device Owensville/IN 47665 Gibson Ciry,State}/P Code County 7•Geothermal Energy Heating/Cooling Device ❑ © ZSDoesthe buyer have:ahomestead,in:lndiana:to:be ❑ 8.Is this property a residential rental property? •vacated:for-this-residen5? If yes,provide ❑ si 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 / City,State ZIP Code County -! 7_ O/ _ ,zoo , &03. 9e,? " O� 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,al cial Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is beingfiled..®$ C �L fJ 4.-f Signature of Buyer! Signature of Buyer2/Spouse - Andrew Stachura -02il-43 Aimee Stachura ( -aV,5