HomeMy WebLinkAboutHomestead_Gruttadaurio 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 ZIP Cade Telephone Number E-mail
Willow Development Group I LC
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1350 Fast 151st St
Address(Number and Street) Address(Number and Street)
Carmel IN 46032
Telephone Number E-mail
Under penaltie of pe�'y-r T,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and corn! - - r-.p''re r . invrandis prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature ofSe,er Signature of Seller
Mike Short Authorized Agent 3/14/2014
Printed Name of Seller Sian Date 001/DD/1Ynl Printed Name of Seller Sian Date OM/DD/Y1111
(.F!BUYER(S)'/GRANTEE(S)`APPEICATION,FORP.ROPERTYTAX_
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY IDENTIFuLL OF THOSE THAT APPLY.
YES NO CONDITION ES NO CONDITION
ig ❑ 1.Will this property be the buyer's primary SI • .e rl estead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
ig 5.Wind Power Device
915 F Kentucky St
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ Fl 2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ SI 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)
l_XI rt o_' a-i id-0 04 a'#I-O fl
City,State ZIP Code County
Primary property owner contact name E-mail