HomeMy WebLinkAboutHomestead_Vincent INDIANA SALES DISCLOSURE FORM SDF ID: 2014 Page 2
D. PREPARER
I. Kathy Masterson Escrow Officer
Preparer of the Sales Disclosure Form Title
l 605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street)
Company
Evansville, Indiana 47713 (812)425-0055 Kathy @swinland.com
City,State,and ZIP Code Telephone Number E-mail
f,,,E. SELLER(S)/GRANTOR(S)
,I
Regions Bank DBA Regions Mortgage
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
215 Forrest Street
Address(Number and Street) Address(Number and Street)
Hattiesburg MS 39401
•
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
and complete as requi ed by I d is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
Signatd Seller !el �� Signature of Seller
54-0.44., �? 710-,--- �/ib/aof y
r Printed Name of Seller Sign Date(MN✓OD/YYYY) Printed Name of Seller Sign Date(MM'DD/YYYY)
F7BBUYER(S)/GRANTEE(S)_APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
=a
• Jeff Vincent Charity Vincent
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
425 North Mart Street 425 North Mart Street
. Address(Number and Street) Address(Number and Street)
Morganfield, KY 42437
- d Y L OF THOSE THAT APPLY.
Y�E($ NO CONDITION YES NO CONDITION p-i ,
y ❑ /1. Will this property be the buyer's primary ❑ 3.3 HomestAead -�f.,af ,
/ residence? Provide complete address of primary A14/ Solar Energy Heating/Cooling System
residence, including county: �pp
11168 W 1000 S ❑ ,V 5. Wind PawegeRicl 2014
• Address(Number and Street) ❑ R"6. Hydroelectri Power Device
Poseyville, IN 47633 I Gibsorj ❑ fi— 7. Ge�otherm: .f„ ...� II_ -.. ing Device
,) City,State ZIP Code County ❑ 12"8. Is Vtic rgeilgigirl�n,a.rental eroperty?
❑ / :2. Does the buyer have a homestead in Indiana to be ❑ .8"9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence being vacated,including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street) ^ (�
City,State ZIP Code h��' _ 3a-'Oa_ t o4. 3'v-WI
Primary rypropert owner contact name E-mail
. !
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