HomeMy WebLinkAboutHomestead_Higginson INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
PREPARER c,12: - 2__.. _.
Karen Harbison VP
Preparer of the Sales Disclosure Form Title
803 E State Hwy 68 Haubstadt State Bank
Address(Number and Street) Company
Haubstadt IN 47639 812-768-5800 kharbisont esbanc.com
Ciy,Stare,and ZIP Code Telephone Number E-mail
E.SELCERS1/GRAN'TOR(S) • . : � � _ -�� •
Aaron Enterprises Inc
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
5101 Kelib Rd
Address(Number and Street) Address(Number and Street)
_ Evansville IN 47720
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 required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
,:..11(1•t L9- � El -�?/ C° .i.
'Signature of Seller , Signature of Seller
Aaron K Gabe Vice President 08/06/2014
Printed Name olSeller Sion Date tMM/DD/YYYYI Printed Name of Seller Sian Date(MAI/DD/TFTII
YER S 'G• E S =_APPEIGATION'EOR?PROPERTY_TAX-
O/ O_ _�TIONSrIDENTI • " LITENIS;THATAPPL-Yi,:
Har K Hi..inson 1 Shirley A Higginson
r1-Name as apse, .•n conveyance document "' . .. . .. c o n v e y a n c e document
526 S 9th Ave 526 S 9th Ave
Address(Number and Street) Address(Number and Street)
Haubstadt IN 47639 Haubstadt IN 47639
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPER ' I : IFY ALL OF TH TI I PLy.
YES NO CONDITION I YES NO CONDITION
IJ✓ ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead :UG 8 2014
residence? Provide complete address of primary 112 •. oar Energy Heating/Cooling System
residence, including county: ❑
526 S 9th Ave S.Wind Power D e •
Address(Number and Street) I ❑ 0 6.Hydroede i 8 `eSPAUDITOR
Haubstadt.IN 47639 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,Stare ZIP Coae 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 ❑ 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.
1002 Adam Ct Not available in all counties.)
Address(Number and Street)
Haubstadt IN 47639 Gibson 01/-�3—C%-4cC-"c�Y�Y/1
• 35 009
City,State ZIP Code County
Primary property owner contact name E-mail