HomeMy WebLinkAboutHomestead_Harper (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER
Chris Ferguson Closing Agent
Preparer of the Saks Disclosure Form Tide
501 Main St. Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville, IN 47708 812-421-4000
City.State•and ZIP Code Telephone Number E-mail
E.SELLERS)/GRANTOR(S)
Carl E Bell and Buelah P.Bell Rev I lying Trustfated Aoril 29 2004
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
) SCI$ 2E0 MAcPL_E be-
Address(Number and Street) Address(Number and Street)
X Ito ol A AtPoUS , /,• 4(.2.3 7
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co plete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
► i�/44 ate S'-zcasoe_-7-Cos re:
Signature of Seller Signature of Seller
Theodore M Bell Successor Trustee X 9292t i tf
Printed Name ofSeller Sign Date(MM/aD/ra) Printed Name ofSeller Sian Date(MM/Da/YYYY)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO rnMDITtnN__
g ❑ 1.Will this property be the buyer's primary [T ❑ 3. Homestead
residence? Provide complete address of primary u el 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
❑ 0 7.Geothermal Energy Heating/Cooling Device
� y
City,State ZIP Code County
IJ ❑ 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 ❑ 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 copnty: below.Please see instructions for more information.
//Di% 5. N riersoAl R D 'ot available in a cou- "- .
Address(Number and Street)
itmceaiii0sl -r n, 47.-9/ /GUo • az- -/a -OS -Ao3 - o00./ 7/ - 0 a9
City,State ZIP Code County
--• .... .. .,., mmctname E-mail