HomeMy WebLinkAboutHomestead_Goedde INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER _ • - - - • - - _
Jamie Smith Closing Services �=
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 iamie.perrv(Wregionaltitlellc.com
City,State,and ZIP Code Telephone Number E-mail
E.SELLERS)/GRANTOR(S) - ,
Misty D McGregor
Seller I-Name as appears on conveyance document Seller 2'Name as appears on conveyance document
10709 East I.4 S ,')
Address(Number and Street) Address(Number and Street)
Oakland City IN 47660
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
an r 7 r m r lete a re g. ired by Iaw,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
In.._ Ir �,A
Signs tar of'-er - .-) Signature of Seller
Misty D.McGregor 07/03/2014
Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(MM/DD/YYn1
F.B • . '.• 'TEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY .
Daniel A. Goedde
Buyer I-Name a • •rs on conveyance document Bvver 2-Name as appears an conveyance document
3876 Address W S' 68 I�
Address(Numberond Street) Address(Number and Street) , l p�
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOB CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE Mg A PP It .
C! I
YES NO CONDITION — NO CONDITION ON _ raw./
ig ❑ 1 Will
Provide complete buyers primary of primary n ■ •e „
• T YAUOIT
p P n' ❑ 0 4.Solar Energy Heating/Cooling System OR
residence,including county: ❑ ig
406 E Strain St 5.Wind Power Device
Address(Number and Street) ❑ 151 6.Hydroelectric Power Device
Ft.Branch, IN 47648 Gibson
0 7.Geothermal Energy Heating/Cooling Device
City,City,State ZIP Code County
❑ 0 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 ❑ 0 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)
OZ-/9-/f- ,3oJ.cam. 37/- Ode
City,State ZIP Code County
Primary property owner contact name E-mail
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