HomeMy WebLinkAboutHomestead_Vincent INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.P,REPARER — —— —
Ray M. Druley Attorney No. 4759-26
Preparer of the Sales Disclosure Form Title
505 N. Church Street PO Box 146 Law Office of Ray M. Druley
Address(Number and Street) Company
Fort Branch,IN 47648 812-753-4975 druleyeinsightbb.com
Oty,State,and ZIP Code Telephone Number E-mail
.E.SELLER(S)/GRANTOR(S) -
Sherri I Men Personal Representative
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
2142 Championship Dr
Address(Number and Street) Address(Number and Street)
Evansvillle IN 47725
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an plete,as Fe-quire' r, .w, . - e is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Sherri L.Allen Personal Reprgsen five June 2014_ Tony Euoene Riley Pers. Rep. June 9 2014
Printed Name ofSelkr Sian Date wM/DD/YYH Printed Name of Seller Sian Date(MM/DDMYf
•E.BUYER(S)/GRANTEE(S). APPLICATION.FORD.ROPERTYTAXDEDUCTIONSe.IDENTIFYALLITEMSTHATAPPLY__ _ _
Cynthia G.Vincent
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1337 S County Road W _
Address(Number and Street) Address(Number and Street)
Fort Branch. IN 47648
TIIE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION JUN 242014
Q ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead '""fin/�`'�
residence? Provide complete address of primary ❑ Q 4.Solar Energy tlkf a Systlfm
residence,including county: ❑ 0 5.Wind REI�����UNTY AUDITOR
60&S I incoln St
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
Fort Branch, IN 47648 Gibson ❑ Fl 7.Geothermal Energy Heating/Cooling Device
Oy,State ZIPCode County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ is 8.Is this property a residential rental property?
vacated for this residence? Ifyes,provide ❑ Fl 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)
7 io/"9-i 5-to / otoo a9S/ era (o
Oty,State ZIP Cade County
Primary property owner contact name E-mail
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