Homestead_Taylor (4) INDIANA SALES DISCLOSURE FORM SDF ID: 2015_ Page 2 '
D. PREPARER
Rochelle L. McDonald 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 rochelle @swinland.com
City, State,and ZIP Code Telephone Number E-mail
E. SELLER(S)/GRANTOR(S)
Michael Trevor Moore Christy Moore
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
708 E Laurel Ridge Ct 708 E Laurel Ridge Ct
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639 Haubstadt, IN 47639
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".
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7 Signature of Seller Signature n V f �r
Michael Trevor Moore 4/27/2015 Christy Moore Ll 4/27/2015
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
(StepStephen L.Taylor Linda J. Taylor
hen
Name as appears on conveyance dpcument Buyer 2-Nape as appears on conveyance•ocument
173). C. wt./T(6,-1-0A Rd 1732 c- Ida'ce...tot-1 I
Address(Number and Street) Address(Number and Street) . ' I
Haubstadt, IN 47639 hS 1 f , j ;[ ' ,?
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT A-PLY.
YES NO CONDITION YES N. CONDITION I,r,. aj4.m;gi
0 ❑ 1. Will this property be the buyer's primary 0 ❑ 3. Homestead IBSON COUNTY AUDITOR
residence? Provide complete address of primary ❑ 0 4. Solar Energy Heating/Cooling System
residence, including county:
❑ 0 5. Wind Power Device
708 East Laurel Ridge Court
Address(Number and Street) ❑ 0 6. Hydroelectric Power Device
,Haubstadt, IN 47639 I Gibson ❑ 0 7. Geothermal Energy Heating/Cooling Device
City, State ZIP Code County ❑ 0 8. Is this property a residential rental property?
V ❑' 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.
17 3 Q r u-10 rre t 4-on en Not available in all counties.)
iss dNu ser and S�et) . lF7G39
24
l4 . 3 / - X40 0 o 7,5s_00 9
City, State ZIP Code County Primary property owner contact name E-mail