HomeMy WebLinkAboutHomestead_Martin (16) • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
DIPREPARER--r -- _-L-_-._ - . - - • - • - .--7
•
Sherri S Hudson Closing Manager
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 sheni-hudson(thieffbosse-com
City,State.and ZIP Code Telephone Number E-mail
,E.SELLER(S)/GRANTOR(S) _ - -
Bradley A Gross Diane M Gross
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
` '10 S .w. 51. c * u yts ea &s
Addi s(Number and Street) Address(Number and Sweet)
14KAt,6s4at+ ZN gni, , JroSR °R-., Y7k3S
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Pro erty Sales Disclosure Act".
Sign.ore Sdler / ./ Signature of Seller
Bradley A Gross / A! 3 1 17 Diane M Gross /)'J3 bat
Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sion Date(MM/o0
P.BUYER(S)/GRANTEE(S)'APPLICATION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS,THAT APPLY._ c.......- r -'-_ -
James M.Martin
4 Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
If S. west Si-
Address(Number and St eet) Address(Number and Street)
Haul s4o. J, ill) y76311
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF E AT PPLY. 1
YES NO CONDITION I YES NO CONDITION I l
p�❑ 1.Will this property be the buyer's primary ❑ 3.Homestead ff11CC ff�
residence? Provide complete address of primary ❑ Fl 4.Solar Energy H i&CgPCoo2A 4ystem
residence,including county: ❑ Q 5.Wind Power Device
Address(Number and Street) ❑ Fl 6.Hydroelectric OtY -
Gry ate ZIP Code looney ❑ I g 7.Geothe Tltrgyart Atrg/ra icllgvice
❑ Ifs B•Is this property a residential rental property?
❑ 2.Does the buyer have a homestead in Indiana to be
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
'�// � incl'uvdin county/ below.Please see instructions for more information.
7/T/ t . West' ST. Not available in all counties.)
Mc tbstad1-1/A/ y 63'1 a(9- 33 -Ob- X03 ' 000. 535-b0
S 7 G,bsel
City State ZIP Code ' County
Primary property owner contact name E-mail