HomeMy WebLinkAboutHomestead_Frederick INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Cesar Berrios Closing Services
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd,Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville,IN 47715 812-759-5555
Ciry,State and ZIP Code Telephone Number E-mail
E.SECL'ER(S)'/,GRANTOR(S)�_ 't _(
Mary I Stunkel
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on convey-ance document
107 N Eileen St
Address(Number and Street) Address(Number and Street)
Haiihctadt IN 47639
Telephone Number E-mail
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a d complete as uired law,and prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signet ea Sell. Signature of Seller
Mary L Stunkpl 01/15/2014
Printed Name of Seller Sian Date(01.4/DO/YYYYI Printed Name of Seller Sian Date(MM/DD/YYYYI
criBUYER(SVGRANTEE(S)`,=APPLICATION,FOR`P.ROPERTYLTAXiDEDUCTIONS-`IDENTIFYcALLITEMS:THAT:APPLY n
Jill M. Frederick
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
306 Crestview Dr
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665
PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION /� NO CONDITION
0 ❑ 1.Will this property he the buyer's primary ` u ❑ 3. Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
107 N Eileen St 5.Wind Power Device
Address(Number and Street) ❑ N 6.Hydroelectric Power Device
Haubstadt, IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
Ciry,State ZIP Code County
Fl ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ N 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.
306 Crestview Dr Not available in all counties.)
Address(Number and Street)
Owensville, IN 47665 Gibson 8 36_40 a-000.3€a-ctQ
Ciry,State ZIP Code County
Primary property owner contact name E-mail