HomeMy WebLinkAboutHomestead_Williamson (7) INDIANA SALES DISCLOSURE FORM SDF ID! Page 2
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 I E-mail
fi tLbtrt S 6RA\TOR ST. _ '----� -- - - _ -.'
Cody 0 Frederick Taylor C Frederick
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
857 Hoing Rd E 857 Hoing Rd E I
Address(Number and Street) Address(Number and Street)
I
Evansville IN 47725 Evansville IN 47725
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowleldge and belief,is true,correct
and corn fete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
S(gnatur of Seller # *noun{of Seller
Cody 0 Frederick 10/25/2013 • Taylor C Frederick I 10/25/2013
Printed Name ofSeller Sian Date(MM/DD/YYY1.1 Printed Name of Seller I Sian Dote OW/D0/1"1111
(F,BUYER(S)'/GRAN E(S)VAPPL`ICATIONF,OR.PR'OPERTXTAX-DED.UCTIONS-IDENTIFYiALf:'ITEMS:THATAPPLY(T ,
Kurtis D.Williamson I
Buyerl-Name • ante document Buyer 2-Name as appears on conveyance document
717 Eisenhower Lane
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639
Telephone Number I 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 - NO CONDITION I
0 ❑ 1.Will this property be the buyer's primary Fl ❑ 3.Homestea•
residence? Provide complete address of primary a . . ar nergyHelting/Cooling System
residence,including county: ❑ I g
5.Wind Power Devic YL j 1)
310E John St I
Address(Number and Street) ❑ 5 6.Hydroelectric Pow e c
Ft.Branch, IN 47648 Gibson ❑ 5 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
ED 1511 2. Does the buyer have a homestead in Indiana to be
❑ 5 8.Is this property a resid�fi)il l�t107l perry?
vacated for this residence? If yes,provide ❑ 5 9.Would you like io receive tax statements for this
complete address of residence being vacated, property via e-mail?(P Waco toc lion
below. Pleasesee instr n ormation.
including county: � f
Not available ircaidalttEsQUNTY AUDITOR
Address(Number and Street)
City,State ZIP Code County a619-x$-3° - 000 .e20)3-tat
Primary property owner contact name I E-mail