HomeMy WebLinkAboutHomestead_Cox INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
'`D.PREPARER' Q -..' ? _ - :_`s `.1 :'u:Y2 t.. .e°" iii.4"s.?�'s..a"x ' 'i$: ' r'9 -.-_2 ? _ f.... .
_Angie Pace . _ _ Title Assistant
Prepa rer tithe Sales Disclosure Form Title
1911 Lincoln Avenue Clear Title Company
Address(Number and Street) Company
Evansville, IN 47714 812-423-8854 ctc(&sigecom.net
City,State,and ZIP Code Telephone Number E-mail
E.SELi LER(S)/GRANTOR(S)-. F_" `sa-..�ovr. .: .A:Fb``�Al:rTe k-::''lit"iCifaiC'�Si:.' 2if.e.ac7, .x•.``47- t1119:1-'''1,1___1,.3._T'i. , 1.
Todd A Snyder Brandie M Snyder
Seller 1-Name as appears on conveyance document Seller 2-Name as appears an conveyance document
1 1. 3'[ Powys v--fl 907 Crestview Drive
Address(Number and Street) Address(Number and Street)
(1.(A-Lns✓!I 1 t.: IV) Li.. .-;) 0.-,77 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
and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5," eal Property Sales Disclosure Act".
,Cys./ 4/@_ (e 74(/rf rmgiiC- . A6lT.9.11 1� a-�JU
/ Signature of Seller ' l ,/ S nature of Seller J
o \Y ��, e cl714-0t-A /2yh
Printed Name or5dler Sian Date tNN/DD/im Printed Ntdme of Seller Sian to INM/D /MY)
`FAIJYER(SIX RANTEE(S)l--TAPEL'1CATION IEORPROFERT.YTAX'DE DUGTIONS IDENTIEY/ALr4I` EMSTHATAPPGY_4.'4 =° a '
William J. Cox
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT
YES NO CONDITION • NO CONDITION - N COUNTY AUDITOR
SI ❑ 1.Will this property be the buyer's primary I F4 IN 3. Homestead
residence? Provide complete address of primary ❑ NI 4.Solar Energy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
307 Crestview Drive
Address(Number and Street) ❑ Fl 6.Hydroelectric Power Device
Owensville. IN 47665 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
❑ Fl 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 ❑ Fl 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)
C9140"1 7-o/— -oe.ao c' -oa a
City.State ZIP Code County
Primary property owner contact name E-mail