Loading...
HomeMy WebLinkAboutHomestead_Schlottman (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 CHRISTOPHER E. CARL ATTORNEY AT LAW Preparer of the Sales Disclosure Form Tide 101 PLAZA EAST BLVD., SUITE 102 TRUE TITLE SERVICE. LLC . Address(Number and Street) Company EVANSVILLE. INDIANA 47715 812-402-6555 closinas(aftruetitlein.com City,State,and ZIPCode Telephone Number E-mail :ErSELLER(S)%GRANTOR(5) . . . . • - - - - - . MICHAEL T COI 1 INS Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 17667E 150 5 Address(Number and Sweet) Address(Number and Street) Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct . • co •pp tered by la • a is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". r ...gnaw-of Seller I Signature a)Seller MICHAEI T COI LINS 06/ l2 /2015 _ Printed Name of Seller Sion Date(HM/DDMTY) Printed Name of Seller Sian Date(MM/DUMY11 ;F-BUYER(S)/GRANTEE(S)'.APPLICATION'FORPROPERTYTAXDEDUCTIONS-.IDENTIFYALL'ITEMS.THAT.APPLY ' ` - . - - . TAYLOR J. SCHLOTTMAN Buyer l-Name as appears on conveyance document Buyer 2-Name as appears on conveyance docume I� - - 12667 (NE.umber mbe and Address(Number and Street) Address(Number and Street) Oakland City. Indiana 47660 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE TiFP(tP YES NO CONDITION I YES NO CONDITION �UNJy ❑❑ 1.Will this property be the buyer's primary Q ID 3.Homestead 111/0)T0R residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ ig 12667E 150 S 5.Wind Power Device Address(Number and Street) ❑ 0 6.Hydroelectric Power Device Oakland Ci - Indiana 47660 GIBBON ❑ 0 7.Geothermal Energy Heating/Cooling Device IZ City,StateZlP ode County ❑ 2. Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property? . vacated for this residence? If yes,provide ❑ 0 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. of available in all c �� Address(Number and Street) f� —/*Lao/�_ 09/ „1-0,77- CO 1� TAYLOR J.SCHLOTTMAN City,State ZIP Code County Pnmary property owner contact name E-mail •