HomeMy WebLinkAboutHomestead_Lush INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
O.PREPARER
Laura Rininger Closing Coordinator
Preparer of the Soles Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services,LLC
Address(Numbe r and Street) Company
Evansville, IN 47715 812-759-5555
City,State,and ZIP Code Telephone Number E-mail
E.SELLERS)/GRANTOR(S) -
James T C2oer dba r7npr Construction
Seller 1-Name as appears on conveyance document Seller 2•Name as appears on conveyance document
650 E 1075 S
Address(Number and Street) Address(Number and Street)
Haubstadt IN 47639
Under penaltie of perju• ,1 hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and cot• . •e'✓.s re t '-"i by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
a /
r re of Seller Signature of Seller
e- 11- •- 11 1 11 1 •
Printed Name of Seller Sian Date(MM/o0/YYY17 Printed Name of Seller Sian Date(0101/0D/riYY)
F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY-TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY_
Mark A. Lush Jennifer K.Lush
Buyer 1-Name as appears on conveyance document Buyer Z-Name as appears on conveyance document
308 Crestview Dr. 308 Crestview Dr.
Address(Number and Street) Address(Number and Street
Ow,
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE TAWAPILL14 LU14
YES NO CONDITION I YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3. Homestead I rift
residence? Provide complete address of primary ❑ 5 4.Solar EgifiecINIG
residence,including county: ❑ 151 5.Wind Power Device
1316 W.Chukar Hollow
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Haubstadt, IN 47639 Gibson ❑ 5 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
ig ❑ 2.Does the buyer have a homestead in Indiana to be ❑ IN 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ Si 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.
308 Crestview Dr. Not available in all counties.)
Address(Number and Street) r
Owensville, IN 47665 Gibson rib- Lg-3&r 300- Cool. 5%,j2?4
City,State ZIP Code County
Primacy property owner contact name E-mail