HomeMy WebLinkAboutHomestead_Bello INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Stephanie Miller 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 theteam(oliirstadvantagetitle.com
City,State,and ZIP Code Telephone Number E-mail
Brian I Riggs Chandra G Riggs
Seller I-Name as appears on conveyance document Seller 2'Name as appears on conveyance document
402 South Main Street same
Address(Number and Street) Address(Number and Street)
Owensvilla IN 47665
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 com ete as require, y law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signs Nre of Seller Signature of Seller
Brian L Riggs 4g12014 Chandra G Riggs 4./2014
Printed Name of Seller Sign Date(MM/Da/YYYY) Printed Name of Seller Sian Date(M.M/DD/YYYY)
`,F BUYER{S)%GRANTEE(S)sAP,PLICATION-FORIPROPERTY-TAX+DEDUCTIONS„--'IDENTIFY,-ALL'ITEMSTHATAP,PRC_-
Jodi Ann Bello
Buyer I-Name as appears an conveyance document Buyer 2'Name as appears on conveyance document
10 Virginia Ave
Address(Number and Street) Address(Number and Street)
Cleveland,OH 44110 FTLEir
City,State,and ZIP Code City.State,and ZIP Code
Telephone Number E-mail Telephone Number APR 1 4 2014 F-mad
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 �!`/{�['',�'�'
❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead GIBSON COUNTY AUDITOR
residence? Provide complete address of primary
❑ NI 4.Solar Energy Heating/Cooling System
residence, including county:
402 South Main Street ❑ 5.Wind Power Device
Address(Number and Street) ❑ Q 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ g 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 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 at- � -troy-obo . ygo- oaa
County
Primary property owner contact name E-mail