HomeMy WebLinkAboutHomestead_Dillon (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Karen S.Creek Closino Agent
Preparer of the Sales Disclosure Form Title
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
E;SELLER(S)/GRANTOR(S) _ 1' '-:#22 T_ `- - — - " _1
7.---•
_
Jason David Swan
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
9 71 5 S.80 W
Address(Num and Street) Address(Number and Street)
k tnc,QUI -rV x(7(70
rider . •nalties of perjury,I • , - . • -ertify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a d corn Y •• e as re. .' • . b . •,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
I _
.gnamre�. '7� Signature of Seller
J on David Swan _ '(�' 23. I�
Printed Nome of Seller Sian Date(Ata/OD/YtT11 Printed Name of Seller Sun Date(MM/OO/YYYY)
:E.BUYER(S)L GRANTEE(S)L=APPLICATIONEOR.PROPERTY.TAX,DEDUCTIONS_IDENTIFY?LLITEMSTHATAPPEY�- ___ "
Kelsey L.Dillon
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
971 S.380 W.
Address(Number and Street) Address(Number and Street)
Princeton,IN 47670
THE SALES DISCLOSURE FORM.MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OFTH OS THATIPP� N ' J)
YES NO CONDITION I YES NO CONDITION Jr-
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead OCT 2 9 2014
residence? Provide complete address of primary ❑ TA 4.Solar Energy Heating/Cooling System
residence,including county: ❑ Q 5.Wind Power Device -
�n1.
Address(Number and Street) ❑ 0 6.Hydroelectric Taw Celtic
'�' `
( Ultlav v (...0 UN FY AUDITOR
• ❑ IA 7.Geothermal Energy Heating/Cooling Device
City,State VP Code County
❑ 0 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property?
vacated for this residence? If yes,provide Fi 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.
Not available in all counties.)
Address(Number and Street) - 06c CJX(
9(„—t`— 110 -100 a. o (Jpc
City.State ZIP Code County
Primary property owner contact name E-mail