HomeMy WebLinkAboutHomestead_Hammel INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
:DTPREPARER_ — ---- _ —•- - - - -- :7.-__L..t -- -- ! - -----_
Karen S.Creek Closing Agent
Preparer of the Sales Disclosure Form Tide
501 Main Street.Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville, IN 47708 812-421-4000 karen.creek @ieffbosse.com
City,State,and ZIP Code Telephone Number
E-mail
I`E.SELEER(S)/GRANTOR(S). ..s - : - '..I.- '. _s<i. ---. -Th e '' ----
Fstate of Stephen Christopher Stiles
eller l-Na as appear n nvey document Seller 2-Name as appears on conveyance document
I,:: fr� D .
x ,�ttt{
recssr Number aid 5tre� Address(Number and Street)
Under penalties of perjury, I hereby certi that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
/924 ccom1pletras/required
1 b`y v,and is pare;t'�'n accorljf{ ce with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".r.
Signature ofSelle Signature of Seller
I aura M.Stiles Personal Representative
Printed Name of Seller Sian Date tMA/DD/YYYY) Printed Name atSeller Sian Date(Al.M/DDIYM1
-F=BUYER(S)/GRANTEE(S):'-APPLICATION'FOR PROPERTY-TAX
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OFT THNHAT PLY.
YES / NO CONDITION YES NO CONDITION
LJ ❑ 1.Will this property be the buyer's primary Q' ❑ 3.Homesteadi 0
' i -a-i
residence? Provide complete address of primary ❑ Lsd 4.Solar Energy Heating/Cooljq stem
residence,including county: Jt G J LU 4
❑ d 5.Wind Power Device
Address(Number and Street) ❑ 6.Hydroelectric Power Device , t__----
1., ,.at.-,4.a
❑ 7.Geothermal EnergyMeating/C-oolingg Device
City State ZIP/Code County OIRSCN C^U $JTV ALJflITOR
❑ a 2.Does the buyer have a homestead in Indiana to be ❑ I❑� 8.Is this property a resF Sent al rental property?
vacated for this residence? If yes,provide ❑ L±I 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) �^ /r''�� OW r��//�;I-[/�)/�
City,State ZIP Code 3(3-A3-(3& - 103 •OW 1 39, F `roc
County
Primary,property owner contact name E-mail