Loading...
HomeMy WebLinkAboutHomestead_Grimm Jr irm • INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 ,. Peggy A. Ralston Title Assistant Preparer of the Sales Disclosure Form Title 3101 N.Green River Road Suite 130 Columbia Title. Inc. Address(Number and Street) Company Evansville,IN 47715 812-471-8563 Dralston(&columbiatitlegrouo.com City,State,and ZIP Code Telephone Number E-mail E�SEUI:ER(Sl/GRANTOR(S)'r , : ,.... - _. :j-`-e 4`. 177 �'. .-"T"T"?j—`.":;t�r,�^ �:=--�3.F.:;04 f-e_ Ricky N Painter Patsy A Painter Seller I.Name aso pears orn�conveyance document Seller 2-Nome taaassJappears on conveyance document 33?t f(i4hLuau ILi -5flI ran ee) I q-j A ess (Number and Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct an complete as required by law,and is prepared in accordance wi IC 6.1.1.5.,55,,,2 eal Property Sales Disclosure Act". Signata fSeller Signature (Seller •- t, t Patsy A Painter 182015 Printed Name of Seller Sian Date(MM/DD/Yri'YI Printed Name of Seller Sian Date(MM/0 D/YYY11 4FA3UYER(S)/GRANTEE(S),1APPhICATION!F,ORPROPERP TAX;D6DUGTIONSwIDENTIEY?AHL'1ITEMSTHAT:AP,PLf - • •S Thomas A.Grimm,Jr. Bue1- Ias appearso nv nc mcnt Buyer 2-Name as appears on conveyance document Lour\W Sl Ad s(Number and iStrreeeet) Address(Number and Street) THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE %JLY� Y YES NO CONDITION I YES NO CONDITION ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/40+2 titan residence,including county: ❑ 10824 West 9 25 South S.Wind Power Device . Address(Number and Street) ❑ 6.Hydroelectric Powe/tevice 4 PoseWille,IN 47633 Gibson L q�l)e ❑ IZ 7,Geothermal Eppp� t p E4 {{ringg jj��pp,t City,State ZIP Code County Cj(ty' • F e HCJIJ^NJn ❑ 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 ❑ 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) ar �- i '1 -a9 -Loo -ooit )14- oat City,State ZIP Code County Primary property owner contact name E-mail