HomeMy WebLinkAboutHomestead_Gooch (2) • INDIANA SALES DISCLOSURE FORM SDF ID: .page 2
D.PREPARER'IS- -: - - -. . . •
Stacey Salzman Closer
Preparer of the Sales Disclosure Form Title
4962 Lincoln Ave. First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715 812-490-8485 theteamefirstadvantagetitle.com
City,State,and ZIP Code Telephone Number E-mail
Ez'SEI:LER(SI/GANTOR(5) — -1 ' . 7C-1-7-__ 77=5777:77:-7-779:7; x
Bonnie J Reeves
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
507 West Monroe Street
Address(Number and Street) Address(Number and Street)
Princeton IN 47670
City,Stateg ZIP Code_ City,State.and ZIP Code
l//�{V/((11 JJ C!�� 6�, I g
Telephone Number E-mail Telephone Number E-mail
Under p ties of perjury, I h certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co ple as require by law rid is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
C L7t ) -
Printed Name of Seller Sign Date(M.M/DD/Yin)
_F!BUYER(S)%GRANT EE(ST1AP.PLICATION;FOR P,RORERTYf LT ARCDEDUGTIONDE ENT'FY.'ALIATEM THAVAPPLY`17
Blaine M Gooch' Jaclyn N Gooch
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
304 W Spruce St. same
Address(Number and Street) Address(Number and Street)
Princeton, IN 47670 /�
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF T'':SE
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead MAR 1 8 2014
residence? Provide complete address of primary ❑ 51 4.Solar Energy H ring/Coolie S
es enc mcl mg county: ❑ � 5.Wind Power` +rb%tu' S
507 �► mro •
a•drvss(Number and,tint) lI 0
` _ 1 ❑ 4 6. HydrocGtIRSPAbQQttt eAUDITOR
�� )._ V N ❑ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 1, 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 Li 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)
City,State ZIP Code n2 )-1 a -b']3D3- 00a. 03-0)8
County
Primary property owner contact name E-mail