HomeMy WebLinkAboutHomestead_BesteINDIANA SALES DISCLOSURE FORM SDF ID: _� Page 2
FD- P. REPARER','' a' v.''''.. ?:'• h' a° c= rz.`.,.`'` ai''§ y°`, zr?:.'- t, Y; 3 % *,!".-?�,�'ss:,'-`?rtn'`•`:.2-
Laura Rininger Closing Coordinator
Preparer of the Sales Disclosure Form Title
7820 Eagle Crest Blvd Ste 201 Regional Title Services
0 Tress (Number and Street) Company
ansville IN 47715
E -mail
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.�SELLER S GRANTORS _>t: �`,�a,,,.- �..�. -�? �_.� -�v� J::.i; -��- .z ,:�..:_�. � a _�+s:. �� °..:�..��v.r.`.`�:,:. ''.. �- ,.��.`�t,...�����:
,lamp% O Spicer
Trina A Spicer
Seller I -Name as appmrson conveyance document
6657 W 400 S
Seller 2 - Name as appears on conveyance document
6657 W 400 S.
Address (Number and Street)
OwPmvillP IN 47665
Address (Number and Street)
Owensville IN 47665
City, State, and ZIP Code
City, Suite, and ZIP Code
E -moil
Under penalties of perjury, I hereby certify that this Sales Disclosure, to the best of my knowledge and belief, is true, correct
complete as required by law, and is prepared in accordance with IC 1.,1-5.5, "Reall�P,r�ope_rty Sales Disclosure Act".
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Signatureof5eller r Signature of5eller
James n Spicer 05/11/2012 Trina A Spicer 05/11/2012
Printed Nam Sin Dare MM D Printed Name o Seller Sian Date (MMIDDIYYM
j F` R S 'GRANT S T " APPEICATION ,F,OWPPROP,ERTYeTAX.DEDU
essica R. Beste
Reis A
Address (Number and Street)
Address(NumberandStreet)
Evansville IN 47711
Evansville IN 47711
State, and ZIP Code
City, Suite, and ZIP Code
E -mail
I Telephone Number E -mail I
THE SALES DISCLOSURE FORM MAY HE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS OSETHATAPPLY.
YES NO CONDITION NO CONDITION
❑✓ ❑ 1. Will this property be the buyer's primary
❑✓ ❑ 3. Homestead
residence? Provide complete address of primary
S ergy Heating /Cooling System
residence, including county:
❑ fV_J S. Wind Power Device
6657 W 400 S
❑ [Z] 6. Hydroelectric Power Device
Address(Numberand5treet)
Owensville IN 47665 Gibson
❑ [Z] 7. Geothermal Energy Heating /Cooling Device
❑ ✓❑ B. Is this property a residential rental property?
DO, State ZIP Code County
2. Does the buyer have a homestead in Indiana to be
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
includi county:
below. Please see instructionsfor more information.
Not available in all counties.)
ya;
o?G- io- 56- poi- 6Q/.a761 �
--:4 s(Number n Street)
k- „�r,;Il, . �l g-7 7r(
City, Suite ZIP Code County
Primary property owner wnwa name E -mail
Under penalties of perjury, l 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”. (Note:
Spouse information, Social Security and Driver's License /Other numbers are not necessary if no Homestead Deduction is
being fsi��led.),,
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q�ature ofB -- Signature of B yer2l5pou�.se
ti:
t R Be%tp 05/11/2012 .In%hua M Re%te 05/112012
n ed g N eofBtryerl Sign Date (MM VYYYYI Pei t Le al Name of Buyer 215pouse Sign Date(MM /DD/YYn)
Last 5 digits of Buyer l Driver's State Last 5 Digits of5ocial Security Number Last S digits ofBtryer2 /Spouse Driver's State Last 5 Digits of Social Security
License /ID /Other Number Number License /ID /Other Number