HomeMy WebLinkAboutHomestead_Edwards (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.:PREPARER' ..,. 4/ : ' j, . Lam..•
Karen S.Creek - Closing Agent
Preparer of the Sales Disclosure Form Title
501 Main Street, Suite 101 Bosse Title Comoanv
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) ter"' 4 _ ., .- _. r__- ..- =0.;.,:i'-.1. - .;-*X-+- .. v-''.
Mickey L Hix Fannie E Hix
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
804 N.Hart Street 804 N Hart Street
Address(Number and Street) Address(Number and Street)
Princeton IN 47670 Princeton IN 47670
Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a d c r • e a r-q 'r- t , law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
•rill¢ofSelle, //mil Signature of Seller / Yom, ��//�
Mickey VL Hix -- Fannie F.Hix /� " � �T
Printed Name of Seller \ Sign Dale(MM/DD/YYm Printed Name ofSeller Sign Date(MM/DD/YYY1)
F.'BUYER(S1/GRANTEE(S)='APPLICATI0.F.OR'PROPERTYTAkDEDUCTIONS-IDENTIFYALL`ITEMSTHAT?APPLY' , _ ,.
Zachary W.Edwards -
on conveyance document Buyer 2-Name as appears on conveyance document
823 S. Dogwood Lane
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 OF THOSE TAP Y.
YES NO cONDmON YES ND ^'rnN
0 ❑ 1.Will this property be the buyer's primary rig ❑ 3.Homestea NOV 5 2014
residence? Provide complete address of primary U L 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device)/( eAiccgar—
Address(Number and Street) ❑ NI 6.HydroelectrievjiNTY AUDITOR
ciry,smre ZIP Code County ❑ Fl 7.Geothermal Energy Heating/Cooling Device
❑ J 2.Does the buyer have a homestead in Indiana to be ❑ B.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ Fl 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.
•• guar a, eina counties.
Address(Number and Street)
i d6 -/a - /s goo - 000 . 176 - 0 .17
City,State ZIP Code County
Primary pmp. •... ..... E-m•