HomeMy WebLinkAboutHomestead_Grimes (2) 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 ZIPCode Telephone Number E-mail
;E.SELLER(S)/GRANTOR(S)' _ _ - -- —.. --- ------ -- -- ---- ' - •-. ---
Sharon Eifert Larry W Halwes
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1506 Mary I PP Dr 1248W •/So S
Address(Number and Street) Address(Number and Street)
Princeton IN 47670 Princeton IN 47670
Under penalties of 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 I -1.1-5.5,"Real Property Sales Disclosure Act".
(1
Signature of Seller tgnature of Seller
Sharon Fifert 2/19/2014 J arry W Halwes 2/19/2014
Printed Name ofSeller Sian Date DiN/DD/IYnl Printed Name of Seller Sian Date Doe/DD/I11T1
_F:BUYER(S)'/GRANTEE(S) ,APPLlcATION,FOR P,ROPERTYLTAX•DEDUCTIONSZ IDENTIFY,ALL.ITEMS_THAT APPL' _t _ _
David R. Grimes
Buyer I-Name as appears on conveyance document Foyer 2-Name as appears on conveyance document
764 E.Columbia St.
Address(Number and Street) Address(Number and Street)
Evansville, IN 47711
Telephone Number 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 YES NO CONDITION F p LED
Q ❑ 1.Will this property be the buyer's primary Q El 3. Homestead Igl
residence? Provide complete address of primary ❑ Q 4.Solar Energy Heating/Cooling System
residence,including county: ❑ Q 5.Wind Power De9EcB 212014
1213 Address s Prince St Q 6. Hydroelectric Power Device
riddles(Number and Street) ❑
Princeton,IN 47670 Gibson ❑ Q 7.Geothermal E H mg Device
City,State ZIPCode County
❑ ❑ Q 8. Is this pb� �t lerty?
Q Z.Does the buyer have a homestead in Indiana to be ❑
vacated for this residence? If yes,provide Q 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.
Not available in all counties.)
Address(Number and Street) V 10— Ito—J — l�
-001.0(05-0
City,State ZIP Code County
Primary property owner contact name E-mail