Loading...
HomeMy WebLinkAboutHomestead_Smith INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER • Christina Lenfers Closing Agent Preparer of the Sales Disclosure Form Title 501 Main St.Suite 101 Bosse Title Company Address(Number and Street) Company Evansville,IN 47708 812-421-4000 City,State,and ZIP Code Telephone Number E-mail E:SELLERS)/GRANTOR(S). i 2..,- . ,• - - _��,:•. ? -.''"- . z -_ _.a ' -_ - :'_ -.. Lowell David Taylor Seller(`^MName asappears on onveyvn edocument ad Seller 2-Name as appears on conveyance document — ddfp(h'u77„:nd Str4¢) / T I ' 7 33 Address(Number and Sweet) 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 com.14s requi ed-ay . .nd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". to aS qna• •of Seller / Signature of Seller owell David Taylor 07/19/2013 Printed Name of Seller Sion Date(AW/oo/rrn) Printed Name olSeller Sian Date FMM/DD/Ym'1 F.BUYER(S)/GRANTEE(S)"-'APPLICATION-FOR PROPERTY-TAX DEDUCTIONS"_'IDENTIEY,ALL..ITEMS.THAT:APPbY "r: • Wanda L. Smith Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 5140 S.Lake Drive _ Address(Number and Street) Address(Number and Street) Evansville. IN 47715 ._ 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 YES NO CONDITION Q ❑ 1.Will this property be the buyer's primary ig 3.Homestead F/5�L D residence? Provide complete address of primary 4.Solar Energy He a residence,including county: ❑ Fl 5.Wind Power Device 105 S Scott St f {k 2 5' Address(Number and Street) ❑ Fl 6.Hydroelectric Power a 2013 Owensville,IN 47665 Gibson ❑ Fl 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code County ❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a res ts•,'. wj,,yq` operty? vacated for this residence? if yes,provide ❑ 0 9.Would you likst881:90tmj •Sera - rkhis - complete address of residence being vacated, - property via e-mail?-(Provide contact-information— -- including county: below.Please see instructions for more information. (Jw - Not available in all counties.) Address(Number and Street) I%y City State ZIP Code County ate - l U-D - IN _ ©00. S I5-Oa2' 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 Ad".(Note: Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is being file 44) 3V ,_ 4 � :gnaw re of Buyerl Signature of Buyer2/Spouse Wanda L Smith 07/19/2013 Number License/ID/Other Number