HomeMy WebLinkAboutHomestead_Shaw II INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.:RREBARERt :
rte— -
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
E:;SEL'LER(S)7GRANTOR(S)•,r --T -- . . - - ; - --, _ . _ ._ - - _- _- - - j
Ryan W Cantner Breanna K Cantner
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
499 E Hirsch Woods I aria 439 F Hirsch Woods I ane
Address(Number and Street) Address(Number and Street)
Under penalties of rjury, I hereby certify that this Sales Disclosure,to the best of my knowledge a belief,is true,correct
and pl by law .nd-is prepared in accordanccLwi h ft�i f�.5,"Real Pr 1 rty a e Act".
S`/ (t
Signature of Seller Signature a .ler
U
Ryan W Cantner I –a /S– Br's-I I- anther 11–":72–1 Y.
Printed Name of Seller Sian Date(MM/DD/YYY1 Printed Name of Seller Sian Date(MM/DD/YYYY)
F BUYER(SVGRANTEE(Sr`APP,LIGATION;FOR,PROPERT,YTAX:DEDUC^TIONS1dDENTIFYALL.ITEMSTHAT!APPLY_____ ___-
Charles E. Shaw. II Brenda K. Shaw
Buyer l-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document /' d
5418 W. State Rd. 340 02 /if l/; ‘l to 5418 W. State Rd. 340 r I l Q t, r Jl
Address(Number and Sveet) �j Address(Number and Street)
Brazil, IN 47834 if 1Y1C.ltol71 I NI (Pi 0/0 Brazil. IN 47834 r(v1C 04,111 I 0 61 747o
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. 2 I
YES NO CONDITION YES NO CONDITION
0 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary ❑ Ti 4.Solar Energy Heating/Coolij 1 stem ' 1
residence,including county: IT s
439E Hirsch Woods I ane ❑ /2 5.Wind Power Device 20/5
Address(Number and Street) ❑ Ti 6. Hydroelectric Power De
Haubstadt, IN 47639 Gibson ❑ Ti 7.Geothermal Ener(t• 'r' _.t ' =Wax. -r,' ' -
City,State ZIP Code County �O 4114
❑ Ti 2. Does the buyer have a homestead in Indiana to be
❑ Ti 8.Is this property a residential re111 F erty?
vacated for this residence? If yes,provide ❑ 0 9.Would you like to receive tax statementsffo98 is
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)
QG43-a1' DO- COL I �s-oa y
City,State ZIP Code County
Primary property owner contact name E-mail