HomeMy WebLinkAboutHomestead_Lienemann (4) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D PREPARER
Sherri S Hudson Closing Manager
Preparer of the Sales Disclosure Form Tide
501 Main Street 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
Sean D Lienemann
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2342 S Old State Rd 65
Address(Number and Street) Address(Number and Street)
Owensville IN 47665
- Telephone Number E-mail
Under penalties of perjury, 1 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".
Signature 44SeUer— Signature of Seller
Sean D I ienernann 7- 31-/3
Printed Name of Seller Sian Date(NM/OD/YYYY) Printed Name of Seller Sian Date(MM/DO/MY)
.F;BUYER( to ES)`APPLICATIONFORPROPERTYTAXDEDUCTIONS=,IDENTIFYALL'ITEM11S-THATAPPLYL- _ _ _
it Zachary D.Lienemann
Buyer 2-Name as appears on conveyance document
1144 S Old State Rd 65
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670
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 I Y NO rUND ION
-in ❑ 1.Will this property be the buyer's primary j i ❑ 3.Homestea
residence? Provide complete address of primary ' "R U 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
2342 S Old State Rd 65
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson
7.Geothermal Energy Heating/Cooling Device
Ciry,State ZIP Code County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ ❑ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 9.Would you like to receive tax statements for this
complete address of residence being faceted, - --property viae=mail?(Provide contact information--
including county: below • -e • •• :e . ctions for more information.
Address(Number and Street)
a4 •// -/9- 4400 - 000. 23s-v.) /
Ciry,State ZIP Code I,un •
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.)
07-3/-11
Signature ofBuyer2/Spause
7arhary D I ienpmann
Number License/ID/Other Number
3C - " I 3-On Sth M