HomeMy WebLinkAboutHomestead_Davis Jr INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Laura Rininger Closing Coordinator
Preparer of the Sales Disclosure Form Tide
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:",SECLER(S)/GRANTOR(S),- - --_.,_- 4 _ _ - _l— — � ..-11. �--- . Ili -- _
Garen I Baker Cindy J Baker
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
803 W Elm St. 893 W_Elm St.
Address(Number and Street) Address(Number and Street)
Hatlhstadt IN 47639 Haubstadt IN 47619
Under penalties of perjury,t 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 If 6-1.1-5.5,"/ Prope Sales Disclosure Act". •
Signature of Seller {' SignaaB7tr of1Seelllleerr / /q /
Satan I Raker C/2//✓ Cindy J. Baker " /O2 `5
Printed Name of Seller Sign Date(MM/DD/Ym) Printed Name of Seller emote /DD/YYYY)
'F,BUYER(S)/GRANTEE(Sj_APPLICATION:FOR PROPERTY TAX DEDUCTIONS=_IDENTIFY-ALL IT T A APP_ _4. _- _-_
William G. Davis. Jr. Cheryl K.Davis _ JELL
Buyer I-,Name as appears on conveyance document Buyer 2-Name as appears on conveyance dacumen{t 1 201[
301 E Airway Dr- 301 E Airway Dr. Jul-
Address JJ
(Number and Street) Address(Number and Street)
Knox, IN 46534 Knox, IN 46534
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. s r + • s HOSE THAT APPLY.
YES NO CONDITION NO CONDIT IN
12 ❑ 1.Will this property be the buyer's primary 0 ❑ 3.Homestead
residence? Provide complete address of primary U U 4.Solar Energy Heating/Cooling Systerli
residence,including county: ❑
803 W Flm St 5.Wind Power Device
Address(,Number and Street) ❑ 0 6. Hydroelectric Power Device
Haubstadt, IN 47639 Gibson ❑ Q 7.Geothermal Energy Heating/Cooling Device
City,State ZIPCode County
0 ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 0 8.Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ TA 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.
301E Airway Dr. r_'NJ Q Not available in all cou(ntiiees.
Address(Number and Street) I�. O��I V—3 Io3 —�• `-'-� ( O�
Knox, IN 46534 r.t U(
City,State ZIP Code County
Primary property owner contact name E-mail