HomeMy WebLinkAboutHomestead_Bradshaw (2) INDIANA SALES DISCLOSURE FORM SDF ID: _ Page 2
D.PREPARER- _
Jamie Perry Closing Department
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 iamie.penveregionaltitlellc.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLERS)/GRANTOR(S)
t.
Robert Miley Dana Miley
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
6121E6505 6121E650S
Address(Number and Street) Address(Number and Street)
Fort Branch IN 47648 Fort Branch IN 47648
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and m ete s required by I. ,and is prepared in accordance with 1 6.1.1-5.S,"Real Pro rty Sales Disclosure Act".
Signature of Seller Signature of Seller
Robert E Miley ' — --- . Dana I Miley
Printed Name of Seller Sian Date(MM/DD/YY191 Printed Name of Seller Sian Date(MM/DD/YYYY)
Fi BUYER(S)/GRANTEE(S)-APPLICATIONTORPROPERTY.TAX DEDUCTIONS-.IDENTIFY ALL ITEMS-THAT-'APPLY' -: � ,.
Christopher L. Bradshaw
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
esEastvi St
Address FILED
Address(Number r and Sweet) Address(Number and Scree[)
Fort Branch, IN 47648 _
Telephone Number E-mail
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THH AATAPPLY.
YES NO CONDITION I YES NO CONDITION ]NW tyAif
Q ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestcra'AB SON COUNTY AUDITOR
residence? Provide complete address of primary n 0 4.Solar Ener Beating Conlin tem
residence,including county: n
s.Wind Pow e e
406 N Hull Street
Address(Number and Street) n El 6.Hydroelec P
Fort Branch, IN 47648 Gibson ❑ PA 7.Geothermal En QQ11[[HR41�Q/ oling Device
City,State ZIP Code County -( '/ /)J
❑ I,7 2.Does the buyer have a homestead in Indiana to be n 8. Is this grope si Atrial rental property?
vacated for this residence? If yes,provide ❑ PA 9.Would you like receiv ta ents for this
complete address of residence being vacated, property via e ntact information
including county: below. % so lGlu¢ttpps.woppO tformation.
Not available in all counties.)
Address(Number and Street)
a(0 1 q i8-3oa-0oo 3b 1-Doe
City,State ZIP Code County
Primary property owner mntatt name E-mail