HomeMy WebLinkAboutHomestead_Robb (2) - INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
ID:PREPARER -.---- - - - - -•
Karen Harbison VP
Preparer of the Sales Disclosure Form Title
803 E State Rd 68 Haubstadt State Bank
Address(Number and Street) Company
Haubstadt IN 47639 812-768-5800 kharbison(thesbanc.com
City;State,and ZIP Code Telephone Number E-mail
E.SELLERfSJJGRANTOR(S)-: - .c. . • -. . 7:-_ _ -. - - -
Jeffrey D Caudill Brandie M Caudill
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
P O Rox 392 P O Box 392
Address(Number and Street) Address(Number and Street)
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co 1 : e as required by I ' and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signan ea .eller 0 signature of Seller
Jeffrey D Caudill 01/10/2014 Brandie M Caudill 01/10/2014
Printed Name^:Scarr Sian Date IMIVO /YYYYI Printed Name of Seller Sian Date rMM/DDnYriI
YER(S)/GRANTE. S)_ APPI:ICA'PION:FOR:PROPERTY TAh.UF-DUC TIONS . IDEN'FIFY,ALI:JTFiv1STHATIAPP:LY- _ _-___ _
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hannon D Robb
Buyer I Name - reears on conveyance document Buyer? Name as appears on conveyance document
3031n1 St
Address(Number and Street) Address(Number and Street)
Owensville IN 47665
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY RE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I 'E-Sr NO CONDITION ILED
Q ❑ 1.Will this property be the buyer's primary ZI ❑ 3.Homestead
residence? Provide complete address of primary rgy Heating/Cooling System
residence,including county: ❑ o JAN 14 2014
108 S Church St S.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Owensville IN 47665 Gibson ❑ j 7.Geothermal Ene • k eating r •yj • revise
City.State ZIP Code County -, 1ZW,
0 ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 4 8.1s this prof ' '9,gis • i* ,tiBi y?
vacated for this residence? If yes,provide ❑ IA 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
including county: below.Please see instructions for more information.
304 S Mill St Not available in all counties.)
Owensville IN 47665 n6 /f O/
Owensville IN 47665 Gibson C�/.!! -/'// -4 0101‘ -ago?
City,State ZIP Code County
Primary property owner contact name E-mail