HomeMy WebLinkAboutHomestead_Jines (6) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
Laura Rininger Closing Coordinator
Preparer 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)::± .-- — _ _ , _ _ .'-'±-__l
Jessica.1 I ewis
Seller I-Name as appears an conveyance document Seller 2-Name as appears an conveyance document
1343 N Newell Rd
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 as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
Cg t&1 d iii' 0,
Signature of Seller ✓ Signature of Seller
Jessica J I ewis /l�Ot ���
Printed Name of Seller Sian Date(MM/DD/YYYY) Printed Name of Seller Sian Date(M.M/DD/YY1'11
F. BUYER(S)%GRANTEE(S):f APPLICATION.FOR:PROPERTYTAX DEDUCTIONS_IDENTIFY ALL...ITEMS THAT APPLY - _ _. -
Adam J. Jines Megan L.Jines
Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
7300 S Division St. 7300 S Division St.
Address(Number and Street) Address(Number and Street)
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT A" � 6.`
6G
YES NO CONDITION YES NO CONDITION y/j ;/
pi ❑ 1.Will this property be the buyer's primary 0 El 3. Homestead -v
residence? Provide complete address of primary ❑ 12 4.Solar Energy Heating/Cooling Sj tym
residence,including county: ❑ 0
'P
2225 W 400 S. 5,wind Power Device
Address(Number and Street) ❑ Fl 6.Hydroelectric Power Device
Princeton, IN 47670 Gibson ❑ SI 7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
0 IN
❑ 0 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 ❑ F 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)
0747/ QI5 Ol: 4300- e0%/r — oat
City,State ZIP Code County
Primary property owner contact name E-mail
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