HomeMy WebLinkAboutHomestead_Martin (17) INDI i SALES DISCLOSURE FORM SDF ID: 2014 Page 2
D. PREPARER
Kathy Masterson 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 kathy@swinland.com
City, State,and ZIP Code Telephone Number E-mail
•E^SELL'ER(Sff'GRANTOR(S)_
Devin J. Strange
Seller I -Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1953 Warrenton Rd
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 ,
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".
... ---,
.7„ -Seller —‘7,—— Signature of Seller
I Devin J. Strange 10/6/2014 10/6/2014
Printed Name of Seller Sign Date(MMIDD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
j F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS -IDENTIFY ALL ITEMS THAT APPLY
Trevor V. Martin
Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1843E ( rraDr LL
Address s(Number and Street) Address(Number and StrT�T
Haubstadt, IN 47639 1
1
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. !DEN (rf ALL SE THAT APPLY.
YES NO CONDITION YES NO CONDITION r`+�'��
r ❑ 1. Will this property be the buyer's primary 6�- ❑ 3. Hom3� N COUNTY AUDITOR
residence? Provide complete address of primary ❑ p 4. Solar Energy.Healing/Cooling System
residence, including county:
❑ 0 5. Wind Power Device
1953 East Warrenton Rd.
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
'Haubstadt, IN 47639 1 Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
City, State ZIP Code County ❑ 0 8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be ❑ ❑ 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) jlors a3_Ib,�.,,^ -�, S( /i-y
City, State ZIP Code County Primary property owner contact name ,`J / E-mail