HomeMy WebLinkAboutHomestead_Murray 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
E.SELLER(S)/GRANTOR(S) . .'> `_r : - - _ -. - .,- - - , i .
Brian R Stout Melinda J Stout
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
708 N Race Street 208 N Race Street
Address(Number and Street) Address(Number and Street)
-
Haubstadt IN 47639 Haubstadt IN 47639
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an complete a5555((((�r�\\\\r1����q��1�ui ed by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Prope Sales nDis^closure Act".
Signature of Seller / p Signature of Seller ,
Brian R. Stout C36 U 7(3 Melinda J Stout fate'I /3
Printed Name of Seller Sian ate(MM1DD/YYYYI Printed Name of Seller Sign te(MM/DD/YYY))
F.$UYERIS)/GRANTEE(S) AP,PLICATION'FOR PROP.ERTY_TAX DEDUCTIONS-'IDENTIFY ALL ITEMS THAT APPLY. .1. , _ ` _
Cindi E. Murray
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1897 E.Warrenton Rd
Address(Number and Street) Address(Number and Street)
Haubstadt. IN 47639
THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CONDITION
❑ 1.Will this property be the buyer's primary ❑ 3.Homestead tf ggg'''
residence? Provide complete address of primary ❑ 12 4.Solar Enel�wH�[i1�/Cog • I
residence,including county: ❑ S.Wind Poi D /
208 N Race Street
Address(Number and Street) ❑ ❑ 6.Hydroelectric Pow r Device tt
Haubstadt,IN 47639 Gibson ❑ fl 7.Geothermal EnA49HLa r 9I oling Device v Ct tote ZIP Code County
❑ 0 8.Is this property residential r-ntal I roperty?
❑ 2.Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide ❑ 0 9.Would you lik.�, y::•-j ii4`;tatements for this
complete address of residence being vacated, properQl@$G1021 jr }dg(pgokformotion
nc u a county: below.Please see instructions for more information.
/� pq r r�/O yr , Not available in all counties.)
A L'umberpnd5 "a��, 2/v 47743 `) 4G- I9 31 -3ok- 0
�/'1y/N�// Oo _ Ob4 -c�q
City State ZIP Cade 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
bei filed
Signature ofBuyerl �i Signature of Buyer2/Spouse
Cindi E Murray U -i-/3
Number License/ID/Other Number