No preview available
Homestead_Johnson (6) INDIANA SALES DISCLOSURE FORM SDF ID: Pa e 2 D-PREPARER. ; _ ••-,' y'r?x +.r, -- W4 _v:_/Mis er :mac.' -?�t .tit_ ; _ . Becky King Closing Processor ' Freparer of the Sales Disclosure Form Title 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,SELLER(S)/GRANTOR(S) ;: 4- =eey. ;; t4 -><,.t.-, s" ;:t R..- '_- - 1.-"P ara4l.w • Ricky G Cates Sandi K Cates Seller 1-Nome as appears on conveyance document Seller 2-Name as appears on conveyance document 6570 W North St 6520 W North St Address(Number and Street) Address(Number and Street) Owensville IN 47685 Owensville IN 47665 Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct a d co plete as r quired by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act". A ? ; // Signature of Seller Signature of Seller Ricky G Cates 071)S/201 S Sandi K Cates 0// /S I 2.0 I C Printed Name of Seller Sign Date(MM/DDfn•Yf Printed Name(Seller Slgn DareJMN o F.BUYER(S)/GRANTEE(S) -APPLICATION•FORPROPERTY.TAX•DEDUGPIONS;l1DENTIFYACIr1TEMS:THA-TAP.PLi '~a =��"'" Tracy K Johnson LaDonna A Johnson Buyer I-Name as appears an conveyance document Buyer 7-Name as appears on conveyance document PO Box 98 PO Box 98 Address(Number and Street) Address(Number and Street) Posevville.IN 47633 Posevville IN 47633 THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY G 9 2015 YES YES NO CONDITION Y NO CONDITION ey 0 ❑ 1.Will this property be the buyer's primary IN ❑ 3.Homestead /1 • _4 / residence? Provide complete address of primary ❑ Fl 4.Solar Energy li to•Fr? j residence,including county: ❑ Q UIBS�� _�• - • jDITOR 6520 W Wirth St 5.Wind Power Device Address(Number and Street) p Fl 6.Hydroelectric Power Device Owensville, IN 47665 Gibson ❑ jl 7.Geothermal Energy Heating/Cooling Device City,State ZIP Code County 0 ❑ 2.Does the buyer have a homestead in Indiana to be ❑ B. Is this property a residential rental property? vacated for this residence? If yes,provide ❑ 17 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. 56 S Sham St. Not available in all counties.) Address(Number and Street) Poseyville,IN 47633 Posey �G– •^I _ 1/C ) 000- `?a 4-Qaa. City,State ZIP Code County Primary property owner contact name E•mall • •