HomeMy WebLinkAboutHomestead_Kenworthy INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.-PREPARER ` _ _. - - ,-:; —•-- _` — - ..
Stacey Salzman Closer
Preparer of the Sales Disclosure Form Title
4962 Lincoln Ave. First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715 812-490-8485 theteamf@firstadvantagetitle.com
Cory,State,and ZIP Code Telephone Number E-mail
,-- __ .
>E'SELLER(S)/GRANTOR(S)_ ,�;:_ _.__ � >?�°��� __ - � �:_ :21-, _ (:.':Yz:. �i.�:� -
Aaron R Gerling
Seller I-Name as appears on conveyance document Seller 2-Name as appears on can document
804 Tretter Park Drive
Address(Number and Street) Address(Number and Street)
Fort Branch IN 47648
city,
Telephone Number I E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
andcoomplete as require law, d is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Si nature of Seller (1)L � � ' �S Signature of Seller
Aaron R Gerling O I JC
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller I Sian Date(M.N/DD/YYri)
;FABUYER(S)%GRANTEE(S) AP;PLIGATION.F.,ORPROPERTYTAXOEDUGTIONST_ IDENTIFY:ALEITEMSeHAT.APPLY,'
hez Michael Kenworthv M I
�IDyrrYHleme,Yaglears on conveyance document Buyer 2-Name as appears on conveyance document
6.01 S Main St.
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648
Telephone Number I E-mail
THE SALES DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES Y
��
K ❑ 1.Will this property be the buyer's primary , ❑ 3. Homestead r
residence? Prov fie omplete address of primary 4 4.Solar Energy I / oolit y.{�'
r sidence including ¢ty: ❑
co � ) r 1 � — �� S.Wind Power D v c•
-..r 7 umbe D-d Street) •yK • ❑ ism 6. Hydroelectric Powerr�D'ev'ce 3
[4 - ', 4 a. -D f r . s ❑ 7.Geothermal EnergPFfe'at g4/?oot ling Device
rty,State ZIP Code County I
❑ 8. Is this property a re idential e : •perry?
❑ 2.Does the buyer have a homestead in Indiana to be l • i :�
vacated for this residence? Ifyes,provide ❑ 9.Would you like to �1.,:•.�+=ET!�!,'-men ��Q9r this
complete address of residence being vacated, property via(eai se �elati $ntM?)rr donation
including county: below.Please see instructions for more information.
Address(Number and Street) 1 e • ••
,14 .19_/e . .3 - L6
0.. 000. ?sy - o .
City.State ZIP Code County i
Primary property owderromarnmme E-mail