Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Homestead_Wilson (10)
INDIANA SALES DISCLOSURE FORM SDF ID: Page 2 D.PREPARER - - - Stacey Salzman Closer Preparer of the Sales Disclosure Form Title 4962 Lincoln Ave First Advantage Title Address(Number and Street) Company Evansville, IN 47715 812-490-8485 theteam(o)firstadvantaoetitle.com City,State,and ZIP Code Telephone Number E-mail E.SELLER{S)/GRANTOR(S) . I arty W Bailey Karen A Bailey Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 811 E Yale Ave Ant 0-104 Same Address(Number and Street) 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 and complete arequired_b law,and is prepared in accordance with IC 6-1.1-5.5,,Real Property Sales Disclosure Act". Ceo LJ C1/4"L n�{f/ Kai-Vn A,. ! Ck,�.t Signature of/eller 1 1 Signature of Seller 1 arryW Bailey / I (), I q(— Karen A Bailey U CI/n ,/Q1- /:�r,l -T Printed Name of Seller SianD to Viral/a AYM1 Printed Name of Seller Sian Date(kM/DOMTY) F.BUYER(S)/GRANTEE(S)-APPLICATION FOR PROPERTY TAX DEDUCTIONS IDENTIFY ALL ITEMS THATAPPLY , _ Justin L.Wilson Buyer 1-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 9805 Clearview Dr. It Address(Number and Street) Address(Number and Street) Haubstadt, 8�iI `„ THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR TB IS PROPERTY. IDENTIFY ALL OFTH0S •.• i� YES NO CONDITION YES NO CONDITION COU4 it 0 ❑ 1.Will this property be the buyer's primary ❑ ❑ 3.Homestead yqti residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling Sys6t p residence, including county: ❑ 9805 Clearview Dr 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 ZIP Code County ID ❑ 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 ❑ RI 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 available in all counties.) Address(Number and Street) ag—/�— 36--/i6- oaa. .a3 %aril City,State ZIP Code County Primary property owner contact name Email