HomeMy WebLinkAboutHomestead_Odom INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Chris Ferguson Closing Agent
Preparer of the Sales Disclosure Form Tide
501 Main St. Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville, IN 47708 812-421-4000
City,State,and ZIP Code Telephone Number E-mail
E.'SELLER(S)/GRANTOR(S): ; -_. r ` `--
Erik R. Schupp Kelli L Schupo
Seller 1-Name as appears an conveyance document Seller 2-Name as appears on conveyance document�
1231 YOEViLST DR. - 1231 Pjnehurst Dr
Address(Nwnber.dnd Street) (Address(NumberandStreet)
c�alls✓lu` y) 47?11 Evansv 1 Ile H 4'l"ll I
Under p al i s of perjury,l hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and s equired by law,and is prepared in accordance with I 6-1.1-5.5_ -q' • operty Sales Disclosure Act".
i
CignamrcafSeeller— ,nature of5ellei,
Frik R Schupp 04/15/2014 Kelli L Schuoo 04/15/2014
Printed Name of Seller Sian Date(M.N/DD/YYYY) Printed Name of Seller Sian Date(M.N/DD/YYYY)
FL BUYER(Sg/GRANTEE(S)7 'APPLICATION FOR`PROPERTY:TAX:DEDUCTIONS_-IDENTIFY ALL ITEMS THAT:APPLY ;.-
John T.Odom Sheila S. Odom
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
7107 W 400 S 7107 W 400 S
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665 Owensville. IN 47665
THE-SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TH PP '
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary a ❑ 3.Homestead APR 1q.ZZ014
residence? Provide complete address of primary ❑ 0 4.Solar Energy Hearing/C ling Syste
residence,including county: ❑ 0 5.Wind Power Device 1QAtL
10468 S Pheasant Run p�pe p1,1r�(1 UNTY AUDITOR
Address(Number and Street) ❑ Q 6. Hydroelectric PRUNSBVtt2
Haubstadt, IN 47639 ❑ Fl 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
ig
0 n (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 ❑ a 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.
7/D7 W 24o0 5 . Not available in all counties.)
Address(Number and Street)
ow-C1✓sv t%/F `,✓ i 10 473 ✓ aG - N 3b- Soo -ot. I '1 Q'DQ9
City,State ZIP Code / County
Primary property owner contact name E-mail