HomeMy WebLinkAboutHomestead_Weiss (6) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER- -- -' _ _
Linda Wiley _ _ - Closing Aoent
Preparer of the Sala Disclosure Form Tide
501 Main St.,Ste 101 Bosse Title Co
Address(Number and Street) Company
I
Evansville.IN 47708 812-421-4000 linda.wiley @ieffbosse.com .
Ciry.State,and ZIP Code Telephone Number I E-mail'
E.SELLER(S)/GRANTOR(S) I .
Scott A Osborne Nathalie S.Osborne
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
115 S Jeremy I n 115 S.Jeremy Ln
Address(Number and Street) Address(Number and Street)
Hatihstadt IN 47639 Haubstadt IN 47639
Under penalties fos 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 6-1.1-5.S," e Property Sales Disclosure Act".
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cott A Osborne ./Q€-11 13 Nathalie S Osborne /0 t '/.2)
Printed Name of Seller \ Sian Date(MM/DDffYI)1 Printed Name of Seller I r—Siqn Date(MM/DD/YYYYI
F.BUYER(S)/GRANTEE(S)=APPLICATION FOR PROPERTY.TAX DEDUCTIONS-IDENTIFY ALL ITEMS THATAPPLY`— - --' -
Elizabeth K.Weiss
Bare tscNairRsapaeprs-on conveyance doctsrt p. o /'4, Buyer 2-Name as appears on conveyande document
` A d (Number an. Slicer))'/,t'vl'�./ �C�ijl- 1 I 110 S Address(Number and Street)
Telephone A'umber 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 I 1 I INI
Fl ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestea•
residence? Provide complete address of primary — o ar Energy He o�Ing
residence,including county: ■❑ Power I g
5.Wind Power De e
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Address(Number and Street) ❑ 0 6.Hydroelectric Power tDn�e�vv<ice QQ'
El Fl 7.Geothermal Energy NL�ahng/$&!1 II Device
City tate ZIP Code County I
--� ❑ 0 8.1s this property a res'dential rental property?
C _ _❑-2,Does the buyer have a homestead in Indiana to be
vacated for this residence? If yes,provide ❑ 0 9.Would you like to .,g :. -.4:rnj j ents for this
complete address of residence being vacated, property via(kfl38b. to .I't isrl pjq{rlation
6 C mind c uniy: / below.Please see instructions for more IInf`o'rmation.
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Not available iin all counties.)
Itydr¢ss(Nurp6era Stree� ,ph 1 ( 1�/ ✓—/
al‘ -/r/ -,(c,- / V J I 600.0102a 009
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City,/State eZZIPP Code `JTD e'j-` County
Primary property owner contact name I E-mail