HomeMy WebLinkAboutHomestead_Hormuth INDIANA SALES DISCLOSURE FORM DF ID: I
S I i Page 2
D:FREBARERL —-,_ _ ,_- 1 C — . - - — -- —
LANAC. HARPER I CLOSER
Preparer of the Sales Disclosure Form Tide
19 NW 4TH STREET STE 500 t I TOTAL TITLE SERVICES, LLC
Address(Number and Street) I• Company
EVANSVILLE, IN 47708 /IS 812-468-8485
City,State,and ZIP Code .� Telephone Number E-mail
%E.SELLER(S)/GRANTOR(S) _ ..'? - . . :.k:-- x' `_`_`. , n._._-- x i4-, .
E G HAYFS TAMARA HAYES
- Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
4033 S. 2 oo ,-.i !JOSS S70DLLD
Address(Number and Street) Address(Number and Street)
Ow.A.cu;Uc I) . �� ,G� Owe'Q5.6. l)C, +N el-766s-
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".
- �1 - -1-vi .1,(.t sc Q.(�I Go
Sign=re Signature of Seller O
C, 11414 '3-4343 a ara s Hayc . —/3
Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sign Date(hut/D0/1111')
F:BUYER(S)/GRANTEE(S)! APPEICATIO FORPROPERTY_TAXDEDUCTIONS:IDENTIEYALLITEMSITHATA$PLY;_: ___-
MATTHEW D. HORMUTH
By,er I to asa pno�yace doctyllent Buyer 2-Name as appears on conveyance document-
Ad ress(Number and eet) //-'// Address(Number and Street)
tlatici lle- /N 77/5
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
\FS/ NO CONDITION YES NO CONDITION
IyL[��ll ❑ 1.Will this property be the buyer's primary I
1g El 3.Homestead residence? Provide complete address of primary � 4.Solar Energy He�in gio nD
go.*.3 s residence,inc uding county: ❑
b0 5.Wind Power Device
�n� ptu lb of jt q/� L{-2(0 ,5-- /j/��//�L,)n ❑ 0 6.Hydroelectric Power*Gc2 Q 2013
City,St a.lPcode U '✓ County ❑ 0 7.Geothermal Energy Heating/Cooling Device
❑ rj(7 ❑ 0 8.Is this property a re e, • i.,=• .1 operty?
IIL� 2.Does the buyer have a homestead in Indiana to be �l - -WM.;
vacated for this residence? If yes,provide ❑ 0 9.Would you Iiigisseept re 14. . eArubtointhis
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) ''](1(/n '<�11r� �/A�� (Q��/�) •/Y/,r^y^�(
City,State ZIP Code b-lo-36-3`x"' -`'- 4. 35 ( loR(
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,Soci Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is
being filed.) /
sagged A . ThrmulA Signature ofBuyer2/Spouse
Number License/ID/Other Number