HomeMy WebLinkAboutHomestead_Williamson (2) INDIANA SALES DISCLOSURE FORM SDF ID: 2015 Page 2
D. PREPARER
Teresa S. Holifield 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 teresa @swinland.com
City,State,and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Whitney E. Fonte
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
3937 E 550 S
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 ,
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 Property Sales Disclosure Act".
1 1
Signature of Sell Signature of Seller
Whitney E. Font 3/17/2015 3/17/2015
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
Blaine R.Williamson Cassandra L.Williamson
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docume
503E Oak St 503E Oak St
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Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 Fort Branch, IN 47648
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY Al L!r :. THAT APPLY.
YES NO CONDITION NO CONDITION CO 0 . --
1a s'1 -
0 ❑ 1. Will this property be the buyers primary 0 ❑ 3. Homestead .,.)-q..
residence? Provide complete address of primary 0 0 4. Solar Energy Heating/Cooling SysterQ o.
residence,including county: 0R
❑ 0 5. Wind Power Device
3937 E 550 S ❑ 0 6. Hydroelectric Power Device
Address(Number and Street)
!Fort Branch, IN 47648 I Gibsori ❑ 0 7. Geothermal Energy Heating/Cooling Device
Cr. State ZIP Code County ❑ 0 8. Is this property a residential rental property?
�/' ❑ 2. Does the buyer have a homestead in Indiana to be ❑ 0 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.
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Not available in all counties.)
Address(Number and Street) ( , / it /�.5=D ,f 5
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City,State ZIP Code - County Primary property owner contact name E-mail