HomeMy WebLinkAboutHomestead_Hoffherr INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D. PREPARER
_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•
E.SELLER(S)/GRANTER(S),"- • - - _ - -
Jeremiah F Harris Kellyl Harris
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
505 E Gibson St 505 F Gibson St
Address(Number and Street) Address(Number and Street)
HaubstadL IN 47639 HaubstadL IN 47639
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
aryp complete as requ' a bylaw,and is prepared in accordance with IC 6- .1-5.5,"Real Pro pe{�ty Sales Disclosure Act".
1(anon:re of Seller Signature o Seller GA-1_—,/1
Jeremiah E Harris 9/27/2013 Kelly L Harris 9/27/2013
Printed Name of Seller Sign Date(MM/DD/YYYt7 Printed Name of Seller Sign Date(MM/DD/YYYY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEMS THAT APPLY ..
es an B. Hoftheni Beniamin L.Hoffherr
• - - it•ppears on conveyance document Buyer 2-Name as appears on conveyance document
25 E.Inglefield Rd. 25 E. Inglefield Rd.
Address(Number and Street) Address(Number and Street)
Evansville. IN 47725 Evansville, IN 47725
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 NQ CaSDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestea) rr, pI 1)
residence? Provide complete address of primary ❑ 0 4.Solar Energy HeafEng d}itriSert1L!
residence,including county: ❑ 0 5.Wind Power Device
('� t YCYL �
505E Gibson St 2013
Address(Number and Street) ❑ 0 6.Hydroelectric power . ce'
Haubstadt,IN 47639 Gibson ❑ 14 7.Geothermal Energy H ting/C olin De e
City,State ZIP Code County
❑ IN 8.Is this property a re
❑ 0 2.Does the buyer have a homestead in Indiana to be
i�y roperty?
vacated for this residence? If yes,provide ❑ 0 9.Would you Ii .944iGcQWd'k-EAAtetTfdRthis
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)
Ci ,State ZIP Code County
1, , 4 - /7- 31. 300 -oo0. 33V- oo
ry,
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