HomeMy WebLinkAboutHomestead_Whitehead (8) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
D. PREPARER s `t 'a'v . - , - ' '
Karen.S.Creek Closing Agent
Prepare'((the Sales Disclosure Form Tide
501 Main Street, Suite 101 Bosse Title Company
Address(Number and Street) Company
Evansville, IN 47708 812-421-4000 karen.creek @ieffbosse.com
City,State,and ZIP Code Telephone Number e-mail
E:SELLER(S)/GRANTOR(S)2' • E , ^`, . rx,_, . ';i 1
Roger Ballard
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
• 144 I t■) sh*ra 2..d cos
Under penalties of perjury, I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
. . : el requir by la , nd is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
S/,natu '-�eller a Signature of Seller
Roger Ballard 00"1 4-1$
Printed Name of Seller Sian Date IM.M/DD/YYYY) Printed Name of Seller Sian Date(M.M/DD/YYYYI
F.BUYER(S)/GRANTEE(S)`=.APPLICATION FOR PROPERTY TAX DEDUCTIONSI'.IDENTIFY.ALL'ITEMS:THATAP..PLY4 r -
Cindy L.Whitehead---) )
buyer nrtIfflb as appears on conveyance document Buyer 2-Name as appears an canveya (e doc ,•en
527 E.Water Street
Address(Number and Street) Address(Number and Street) AUG 2 6 2015
Princeton, IN 47670
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION Y • I I. I ION
71 ❑ 1.Will this property be the buyer's primary [' ❑ 3. Homesteas
residence? Provide complete address of primary �► •• oar nergy Heating/Cooling System
residence,including county: ❑
5.Wind Power Device
Address(Number and Street) ❑ 6. Hydroelectric Power Device
❑ 7.Geothermal Energy Heating/Cooling Device
City,State ZIP County
❑ g 2.Does the buyer have a homestead in Indiana to be ❑ 8. Is this property a residential rental property?
P Code
vacated for this residence? If yes,provide ❑ 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)
A 6 - /2 -07 - Yo/-po,1 . 5V7 -O ..
City,State ZIP Code County
Primary property owner contact name E-mail