HomeMy WebLinkAboutHomestead_Banister (3) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D.PREPARER - -
CHRISTINA LATHAM TITLE CLERK
Preparer of the Sales Disclosure Form Title
4703 THEATER DRIVE REGIONAL LAND TITLE
Address(Number and Street) Company
EVANSVILLE. IN 47715 812-402-4553 CHRISTINA(aaREGIONAL-LT.COM
City,State,and ZIP Code Telephone Number E-mail
E.SELLERS)/GRANTOR(S ' - - - -
I illian Majewski
Seller I-Name as up•_us on conveyance document Seller 2-Name as appears on conveyance document
s it-
A. :.s(Number a Street) Address(Number and Street)
Under penalties of perjury,I hereby certify that this Saes Disclosure,to the best of my knowledge and belief,is true,correct
an complete a required by law,and is prep red ink ordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
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Signature of Seller • (0-1(1- 6
Signature of Seller
1 illian Majewski
Printed Name o Seller Sian Date(MM/Oa/YYY11 Printed Name o Seller �yFy���••�,i!�i•n Date(MM/DD/YYY1)
F..BU t A:a ' EE S -:APPLICATION FOR-PROPERTY TAX DEDUCTIONS-IDENTIFY ALL I�;!I'LL'7iZ.t :•.ljtfti -
Michael D. Banister
vyernt'LT2LTLYeP"Son conveyance document Buyer 2-Name as appears on conveyance document
(6o4 W W . P;n12,,,t( Si . JUN 26 2015
Add . (Number and Street) J Address(Number and Street)
/t•Irc 1. o- It 47b> 0 A _, _-"
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. •ENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION .-- •. • •,
ul
❑ 1.Will this property be the buyer's primary 1 r ❑ 3.Homestead
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑ Is
604 W Pinkney St 5.Wind Power Device
Address(Number and Street) ❑ EV 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 $•Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 19 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 avail.. • '• • .t. -.
Address(Number and Street)
.24 - la -o7 — 303 - 00,3. 939. 014
City,Stare ZIP Code County
rimary prapertymvner contact name