HomeMy WebLinkAboutHomestead_Garner INDIANA SALES DISCLOSURE FORM SDF ID: 2014 Page 2
D. PREPARER
Teresa S. Holifield Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812)425-0055 teresa @swinland.com
City,State,and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Linda Rae Smith
Seller 7-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
210 S. Lincoln Street
Address(Number and Street) Address(Number and Street)
Ft. Branch, IN 47648
Under penalties of perjury, I 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".
Gk2.-c*'
Signature of Seller Signature of Seller
Linda Rae Smith 9/22/2014 9/22/2014
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Jerry L. Garner
Buyer 7 -Name as appears on conveyance document Buyer 2-Name as appears on Tale dfcumeeLl D
705 East Locust Street !GL' 18N 4pNp 99--1
Address(Number and Street) Address(Number and Street) " ` "
Ft. Branch, IN 47648
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS •:•• • NTlFY- LN1}i I 1711�R
_ YES NO CONDITION NO CONDITION UUV
0 ❑ 1. Will this property be the buyer's primary 0 ❑ 3. Homestead
residence? Provide complete address of primary 0 0 4. Solar Energy Heating/Cooling System
residence, including county:
❑ 0 5. Wind Power Device
210 South Lincoln Street 0 0 6. Hydroelectric Power Device
Address(Number and Street)
Fort Branch, IN 47648 Gibson 0 0 7. Geothermal Energy Heating/Cooling Device
City, St to ZIP Code County ❑ 0 8. Is this property a residential rental property?
0 2. Does the buyer have a homestead in Indiana to be ❑ 0 9. Would you like to receive tax statements for this
• vacated for this residence? If yes, provide complete property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
act,- 19-113-3o3-v00. 33a -0a4,
City,State ZIP Code County Primary property owner contact name E-mail