HomeMy WebLinkAboutHomestead_Bruce INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
CHRISTINA LATHAM TITLE CLERK
Preparer of the Sales Disclosure Form Title
4703 THEATER DRIVE REGIONAL LAND TITLE
Address(Number and Street) Company
EVANSVILLE, IN 47715 812-402-4553 CHRISTINA(a�REGIONAL-LT-COM
City,State,and ZIP Code Telephone Number E-mail
_E SELLER(S)/GRANTOR(S). — -- - —. _ — --- - �.--.h__ -----
Tom W Masnn
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
9397 E 125 S
Address(Number and Street) Address(Number and Street)
OAKI AND CITY IN 47660
Under penalties of perjury,t hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
nd complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
ignatar of Seller Signature of Seller
///
Tom W Mason V 75'
���Priinnttee-d�Npapme of Seller Sion Date(MN/DD/YYYYI Printed Name of Seller Sian Date(M.M/DD/YYYY)
fatrtE 'S _ _ l . ___ -- _ _._-____ lFY. _ - ._- 7 . __.
S)/Ggi1NTEE(S)-APPLICATION FOR PROPERTY'Tr1X DEDUCTIONSc16ENTIFY ALLiTEMS THAT APPLY__ _.
Kristi D Bruce '/1
.,.,,.,.c,y,,rs on conveyance document Buyer 2-Name as appea on co ey cedon
914 N POLK DRIVE
Address(Number and Street) Address(Number and Street)
OAKLAND CITY, IN 47660 MAY 2014
AL O M (• AYA tWITOR
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF
YES NO CONDITION I YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary YES
3. Homestead
residence? Provide complete address of primary I I 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑ SI 5.Wind Power Device
914 N POI K DRIVE
Address(Number and Street) ❑ SI 6. Hydroelectric Power Device
OAKLAND C TY, IN 47660 GIBSON ❑ N 7.Geothermal Energy Heating/Cooling Device
Ciy,State Zl _ode County
El 2.Does the buyer have a homestead in Indiana to be 111 SI 8. Is this property a residential rental property?
vacated For this residence? If yes,provide ❑ N 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 i�ny all/c�oun counties.)
Address(Number and Street) do/(/Q —ao/— 6�-�' . YO(..5 - 00 2
Kristi D. Bruce
City,State ZIP Code County E-mail
Primary property owner contact name