HomeMy WebLinkAboutHomestead_Schlumpf INDIANA SALES DISCLOSURE FORD? SDF ID: e 2
D.PREPARER - -
Laura Rinineer Closing Coordinator
Prepare:of the Sales Disclosure Form Title
7820 Eaale Crest Blvd Ste 201 Reaional Title Services. LLC
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555
City,State,and ZIP Code Telephone Number E-ma'
E.SELLER(S)/GRANTOR(S)
Darla J Barrett Jamos P Geary
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
9448 W 650 S 905 S Fifth Ave
Address(Number and Street) Address(Number and Sheer)
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
anty-Complet• .s requ' ed by law,and is prepared in accordance with I 6-1.1-5.5,"R-.1 P o.erty Sales Disclosure Act".
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Signature of Seller _ ture of Seller ,
el
Dada J Barrett 6/5/2014 `a u• •t / I •
Printed Name of Seller Sian Date(M.M/DDMTTI ' Printed Na o. , r Sian Date(MM/DDMTYI
F. BUS S) -APPLICATION FOR PROPERTY TAX DEDU •NS-IDENTIFY ALL ITEMS THAT APPLY(.
Zachary W. Schlumof _ ', ; • . ,C t • e - S r
over I-Name us appears on rvance document '-1 =1 • •, ,cu •arson conveyance document
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l 1 \ . r —
Address(Number and Street) '� Address(Number and Street)
Mt.Carmel, IL 62863 �\ 1��4 is -�- • Carrno 1t IL. ConiLL3
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR C 'n : • 6•10k THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION 0180'014 G YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 IN c Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
° 5.Wind Power Device
105 N Church SL ❑
Address(Number and Street) 6. Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City State ZIP Code County
El 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 ❑ IS 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)
og-/9/a-dot oft. J-93-0J4
City,State ZIP Code County
Prima:),property owner comae t name E-mail