HomeMy WebLinkAboutHomestead_Hart (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D:PREPARER a __ (
Laura Rininuer Closing Coordinator
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services, LLC
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555
City,State.and ZIP Code Telephone Number E-mail
E?SELLER(S)%GRANTOR(S)i - = — — j
Bryce D Arbuthnot
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
6259 W Stalheim Ave
Address(Number and Street) Address(Number and Street)
Under penalties of perjury, 1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as r• .uired t law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
(Ctt r( 1"
SlgnaturlfSeller ' Signature of Seller
Bryce f1 Arbuthnot 6/25/2014 - -_
Printed Name of Seller Sign Date(MM/DO/YYYY) Printed Name of Seller Sian Date(MM/DD/VVYf
F. BUYER(S)/GRANTEE(S).•APPLICATION-FOR'PROPER-Tt TAX DEDUCTIONS-IDENTIFY-ALL ITEMS THAT,APPLY r. j
Bradley J. Had
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
123 S. Gibson-St.--
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660
THE SALES DISCLOS DISCLOSURE
CONDITION MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS rPROPERTY. IDE TIFY ALL OF F{tpSE HA APL
YES 0 ❑ 1.Will this property be the buyer's primary ❑ 3. Homestead E9E9 ' 1111441411
residence? Provide complete address of primary ❑ 4.Solar Energy System
residence,including county: ❑ S.Wind Power=e
uice •
434 E Walnut
Address(Number and nd Street) ❑ 0 6. H y droelectric t
Owensville, IN 47665 Gibson ❑ Q 7. Geothe9109Yie59I0Mnt9oal91i Device
City,State ZIP Code County •-
❑ 0 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 ❑ 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) 1 Q
City.State ZIP Code County a�_1 0- 0 100_ 00o- 144 - Da -
Primary property owner contact name E-mail