HomeMy WebLinkAboutHomestead_Rainey INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
CDt:PREP,A'RERr-,--- 7- ---- .C.,T_ Tr - — -_ - . - —
Laura Rininger Closing Coordinator
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services, LLC
Address(Number and Street) Company
Evansville,IN 47715 812-759-5555
City,State,and ZIP Code Telephone Number E-mail
LE:.SBLLER(S)%GRANTOR(n `• ---' -- ' ' `"`— - _ _
Green Meadow Construction Inc
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
304 F State Rd 68
Address(Number and Street) Address(Number and Street)
Hauhstedt IN 47639
Under penalties perjury,)her���???333'''certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
and co Mete quirk rid is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Signature of Seller Signature of Seller
Kenneth W Reinbrecht Authorized Agent \f IN n
Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller
f Sign Date(MM/DD(YYYV]
[Fs.BUYER(S)/.GRANTEE[SPi--APPLICATION TOR‘PITOP,ERTX,ITAX15EDUGTIONS_IDE NTI F-YALII ITEMStTHAT APPLY'-----
Matthew Scott Rainey
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
215 W.Oak
Address(Number and Street) Address(Number and Street) 4 1
Washington, IN 47501
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 CONDITION
IN ❑ 1.Will this property be the buyer's primary jFl ❑ 3.Homestead qg p
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heaatiiing/Cooling AUDITOR
residence,including county: ❑ 0 5.Wind Power Device
304 E Rork Rd
Address(Number and Street) ❑ 0 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ Fl 7.Geothermal Energy Heating/Cooling Device
City,State PCode County
5
❑ 2 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 ❑ 5 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) d(9-1 g-Db 3 b3 - DOD. 231- Daa
City,State ZIP Code County