HomeMy WebLinkAboutHomestead_Booth INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D..PREPARER.---:- 1,_., - '"r r _ . _Tic-- - - - _-- l
Karen S. 'Creek Closing Agent._
Preparer of the Sales Disclosure Form Title
501 Main Street. Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville, IN 47708 812-421-4000 karen.creek @jeffbosse.com
City,State,and ZIP Code Telephone Number E-mail
lamps G I Inyd Joann I loyd
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
7 ei...3 S Gcgfer s57- 743 Seem St
Address(Number and Street) Address(Numb and Street)
,t tca4,14 its (Pia VP F?Iru�c4 / 4-7O%t
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 IC 6-1.1-5.5,"Real rope Sales Disclosure Act".
Signature ofSelleriY Signature Seller •
,Iar (, �r //�.
nas 1 Inyd ��� �� Joann Lloyd 6-I0 e2OiS
Printed Name of Seller Shin Date(MM/DD/YYYY( Printed Name of Seller Sign Date IM.M/oD/YYYYI
F. BU,YER(S)JGRANTEE(S)_:AP,P LIGATION_FOR PROPERTY TAX,DEDUCTIONS _IDENTIFY ALL ITEMS THAT-APPLY 1_,L.______1-1
John C. Booth Jaime S. Booth
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
208 W. Strain Street 208 W. Strain Street
Address(Number and Street) Address(Number and Street)
Fort Branch, IN 47648 Fort Branch, IN 47648 .,/�
TYES E SALES DDISCLOSURE FIORM DAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS'PF-ROPER Y. IDECOHDITLL F THOSE MATT APPLY. 17 n
0 ❑ 1.Will this property be the buyer's primary ig ❑ 3. Homestead Co, rte .
residence? Provide complete address of primary 4. Solar Ener Heatin Coolie �.
residence,including county: ❑ Power g/ '0,0 0-
❑ 0 5.Wind Power Device 0
Address(Number and Street) ❑ Q 6. Hydroelectric Power Device
n Fl 7.Geothermal Energy Heating/Cooling Device
City.State ZIP Code County
III 10 2. Does the buyer have a homestead in Indiana to be 111 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 i ll counties.)
Address(Number and Street)
City,State ZIP Code County
rl/-��/3 090 6 9-6776.
Primary property owner contact name E-mail