HomeMy WebLinkAboutHomestead_Allen INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
LANA C. HARPER CLOSER
Preparer of the Sales Disclosure Form Tide
19 NW 4TH STREET STE 500 TOTAL TITLE SERVICES,LLC
Address(Number and Street) Company
EVANSVILLE.IN 47708 812-468-8485
City,State.and ZIP Code Telephone Number E-mail
..E:SELLER(S)tGRANTOR(5)..-.-.f-. _ ". c_ - . . - - _.
STEVEN F BILDERBACK I INDA D BILDERBACK
Seller I-Nobig.a)appears on conveyance doeumen, Seller Z-Name as appears on conveyance document
02c Ja AGn oik t et
Address(Number and Str t) Address(N ePand Street)
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowlelge and belief,is true,correct
.and Completeas�GquirRdlbyrlaw,>ti d is prepared in accordance with IC •-1.1-5.5,"Real Prop•rty�Sales Disclosure Act".
1� / 1FJJ�J [[YY��JJ((//1�/_r �r��//JJ / A A 13 . ,_... C1clk�(h -'-
SigKature of Sere __7 -•now of Seller
Stet i 0 10 Printed Name of Seller Sign Date(sw/DO/n'r11 Printed Name of Seller Sign Date(sw/DD/rrro
.F.BUYER(5)/GRANTEE(Sh APPLICATION FOR PROPERTY TAX.DEDUCTIO1NS IDENTIFY.ALL ITEMS T THA APPLY.__. .... - _
U l
CHRISTOPHER L.ALLEN , l Cc A-tti(2i'c
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
coa- Clad(<4S&w Dr
Address(Number and Street) Address(Ne abler ar�r'treeyg '
F6'aT /34f1,,LN , T nJ X76'1-£5 '�—y\ C 1
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THA'.P•Li
YES NO CONDITION I YES NO CONDITION n
0 ❑ 1.Will this property be the buyer's primary SI ❑ 3. Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy HeatingMQgiing y m
rest ace,indud'n county: ❑ 0 b14
9o2 G'ue-1nguD o? S.Wind Power Device
Ls� es(S m dStr 1 NJ t, /-1/0. fr•, i; i
Uf ❑ TA 6.Hydroelectric Poweg vice
_�Ci 'J /il� "f YYU ❑ 0 7.Geothermal ft.:..).chee�tg Device
City,State ZIP Code County rITy
igi ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential reXtAa�{2 �p ?
Vacated for this residence? If yes,provide n 0 9.Would you like to receive tax statements for this
complete address of residence being vacated, property via e-mail?(Provide contact information
ncluding county: below.Please see instructions for more information.
���J r� / 3S-7) (2) Not available in all counties.)
Ad (Nm ra Street) ■
CI( ne'trZN 4� k,3:� 5� z1,- 19-1g - 1o1 eol oi5oalo
CiN,State ZIP ( County
Primary property owner contact name E-mail