HomeMy WebLinkAboutHomestead_Salyer INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER - _. - - -
•
Stacey Salzman Closer
Preparer of the Sales Disclosure Form Tine
4962 Lincoln Ave. First Advantage Title
Address(Number and Street) Company
Evansville, IN 47715 812-490-8485 theteam(dfirstadvantagetitle.com
City,Store,and ZIP Code Telephone Number E-mail
E.SELLER(SJ/GRANTORISJ:- - - - - - -_ - - . -
Brian C Conner Jessica L Conner f/k/a Jessica L Weiss
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
601 East Oak Street same
Address(Number and Street) Address(Number and Street)
Fon 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".
Signature of Seller Signe a of Seller
Brian C Conner 10/3/2014 - - .I e• iii;•1
Printed Name of Seller Sign Date Wm/on/MCI Printed Name of Seller , �Si•nD l/ao/YYn)
F.BUYER(S)/GRANTEE(S).-APPLICATION FORPROPERTYTAX‘DEDUCTIONS IDENTIFY-ALL•ITEMSTHATAPPLY-- -
Ova F Salyer - Ruth A Salver in 7 9 2011
as appears on conveyance document Buyer 2-Name as appears on conveyance document
9367 S State Rd 61 same
Address(Number and Street) Address(Number and Street)
Oakland City, IN 47660
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION NO CONDITION
L9 ❑ 1.Will this property be the buyer's primary r ❑ 3.Homestead
residence? Provide complete address of primary U Lii 4.So eating/Cooling System
residence,including county:
(Do 1 EO,( RIP.. C` \t_ . ❑ 0 S.Wind Power Device
®) dr�(Number Street) �� �`.n ❑ 0 6.Hydroelectric Power Device
t- TT( l .�a S. ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ U 2.Does the buyer have a homestead in Indiana to be 111 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.
e at ae eina counties.
Address(Number and Street)
ZG— / 9-/9- fo/ - oOo. 6.5 ?- o x _
City,State ZIP Code County
-"Tharimtictarcry owner contact name E- 1