HomeMy WebLinkAboutHomestead_Frederick INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
CHRISTOPHER E.CARL ATTORNEY AT LAW
Preparer of the Sales Disclosure Form. Title
101 PLAZA EAST BLVD., SUITE 102 TRUE TITLE SERVICE. LLC
Address(Number and Sweet) Company
EVANSVILLE, INDIANA 47715 812-402-6555 closinos(altruetitlein.com
City State,and ZIP Code Telephone Number E-mail
E:SELLERS)/GRANTOR(S) -
CART B MFFKS I ISA.I MFFKS
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
5887E 114 S 5887 E. 115 S
Address(Number and Street) Address(Number and Street)
FRANCISCO INDIANA 47649 FRANCISCO INDIANA 47649
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and : plete as equired by law a t is prepared in accordance w h IIC_6-1.1-5.5,"Rea Property Sales Disclosure Act".
igna re of`-ler ) Signature filer 1-7 SARI X MFFKS i a \ /2014 A u • _ 1 -7 � ( /2014
Printed Name �}ia o M/DDmYI)
F..BUYER SarGRANTEE S -APPLICATION_FORtP.ROPERTYTAX-DEDUCTIONS-IDENTIFYALLITtr 1 AtIAPP(f.Y',- - -
JORDAN D FREDERICK
n•- •• .. • •••,nce document Buyer 2-Name as appears on conveyance dotyplq{r 20 2014
5887 E. 115 S Fi V U
Address(Number and Street) Address(Number and Sweet)
FRANCISCO, INDIANA 47649 Aoet
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary �� ❑ 3.Homestead>
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑ IN
5887 E 115 S 5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
FRANCISCO, INDIANA 47649 GIBSON ❑ 0 7.Geothermal Energy Heating/Cooling Device.
City,State P Code County
❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 6.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.
615 S.7TH STREET Not available in all counties.)
Address(Number and Street) p
PETERSBURG. INDIANA 47567 PIKE • JORDAN D.FREDERICK O;6 - /3-/9-300 - a0/.3&S-Do V
CIO;State ZIP Code County
Primary property owner contact name E-mail