HomeMy WebLinkAboutHomestead_Bruner INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREP,ARER _ . - - - ._
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
City.State,and ZIPCode Telephone Number E-mail
E.SELLER(S)/GRANTOR(S) -. - .
Charles H Conn
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
8317 S SR 61
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
and co :fete as repaired by law, . tl i prr p red in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
/`�.- ,---
�s: s __ - - — _—
-.naavea "_ Signature of Seller
Charles H Cone 08/15/2014
Printed Name of Seller Sian Date(MM/DDMY'Y) Printed Name of Seller Sian Date(MM/DO/YYYfl
F.BUY ! -, . 1 : TEE S 1 APPLICATION.FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
' Ryan W.Bruner T E Buyer I-,Nome as a. -• on conveyance document Buyer 2-Name as appears on convey da me.
• • -eregrine
Address(Number and Street) Address(Number and Street)
Evansville. IN
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF 13913613Nr Br19JNTY AUDITOR
YES NO CONDITION I Y •e CONDI e
0 ❑ 1.Will this property be the buyer's primary I 0 n 3. Homestead
residence? Provide complete address of primary • ra.� • . . -nergy Heating/Cooling System
residence,including county: ❑ SI
404 E Vine Street S.Wind Power Device
Address(,Number and Street) ❑ igl 6. Hydroelectric Power Device
Fort Branch, IN 47648 Vanderburqh ❑ Q 7.Geothermal Energy Heating/Cooling Device
Ciry,State ZIPCode County
El SI 2.Does the buyer have a homestead in Indiana to be n 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) 016
— 9 ,&s ./o/_ W
Lin!,State ZIP lode County
Primary property owner contact name E-mail