HomeMy WebLinkAboutHomestead_Osborne (2) NDIANA 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. SELLER(S)/GRANTOR(S)
Romaricosofronio M. Caalem Fred Nenneker III
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
8874 South Meadow Lane 8874 South Meadow Lane
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665 Owensville, IN 47665
Under penaltie of perjury, I hereby certify that this Sales Disclosure)to the best of my knowledge and belief, is true, correct
an -complete -§"r quired by law,and is prepared in accordance with IC 6-1.1-5.5, "Real Property Sales Disclosure Act".
SfgnatOr`'p .. eller°t.,) t .Signature of Seller—... )
Romaricosofronio M. Caalem Fr d Nenneker III
Printed Name of Seller Sign Date(MM/DD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S) -APPLICATION FOR PROPERTY TAX DEDUCTIONS - IDENTIFY ALL ITEMS THAT APPLY
Brandon R. Osborne Amy L Osborne
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
1201 Highway 66 1201 Highway 66
Address(Number and Street) Address(Number and Street)
New Harmony, IN 47631 New Harmony, IN 47631
t�Aj APP �A
YES NO CONDITION YES NO CONDITION II`` 11.j1 Y
_ 1. Will this property be the buyer's primary -J ❑ 3. Homestead
residence? Provide complete address of primary ❑ p 4. Solar Energy Heating/Cooli����
residence,including county: GIBBON COUNTY AUDITOR
❑ f7 5. Wind Power Device
8874 South Meadow Lane
Address(Number and Street) El 0 6. Hydroelectric Power Device
;Owensville, IN 47665 Gibson ❑ El 7. Geothermal Energy Heating/Cooling Device
City, State ZIP Code County ❑ O 8. Is this property a residential rental property?
❑ a 2. Does the buyer have a homestead in Indiana to be ❑ El 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) cW ` 1 ! G 0 X_ ff W 4 WX- i
City, State ZIP Code County Primary property owner contact name C..CJ( E-mail
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief, is true, correct and