HomeMy WebLinkAboutHomestead_Will (16) INDIANA,SALES DISCLOSURE FORM SDF ID: 2015 Page 2
D. PREPARER
Rocksan Underhill Escrow Officer
Preparer of the Sales Disclosure Form Title
605 SE Martin Luther King Jr Boulevard Southwestern Indiana Land Title
Address(Number and Street) Company
Evansville, Indiana 47713 (812)425-0055 rocksan @swinland.com
City,State,and ZIP Code Telephone Number E-mail
E. SELLER(S)I GRANTOR(S)
James G Mabrey Debra K. Mabrey
Seller 1-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
10231 S Pheasant Run 10231 S Pheasant Run
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639
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 requir by law, and s prepared in accordance with IC 6.1.1-5.5, "Real Prope Sales Disclosure Act".
g'
,,6�gnature o Seller Si nature of Seller
;Games G Mabre `-s -lb Debra K. Mabrey q-eQ)�•i F>
I Printed Name of Seller ) - Sign Date( ,"1JD/YYYY) Printed Name of Seller Sign Date(MM/DD/YYYY)
F. BUYER(S)/GRANTEE(S) -APPLIC• ION FOR PROPERTY TAX DEDUCTIONS-IDENTIFY ALL ITEMS THAT APPLY
Dianne Will
Buyer 1 -Name as appears on conveyance document Buyer 2-Name as appears on conveyance document
2444 W 1300 S
Address(Number and Street) Address(Number and Street)
Haubstadt, IN 47639
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS F THIS PROPERTY. IDENTIFY ALL-OF SI)E T/}{�p7 PPLY.
YES NO CONDITION YE NO CONDITION
,t� -+ '-"'
y ❑ 1. Will this property be the buyer's primary 3. Homestead
'\ residence? Provide complete address of primary ❑ 1.1 4. Solar Energy Heatl, m
residence, including county: ❑ ' , 5. Wind Powe +r� COUNTY .AUDITOR
10231 S Pheasant Run
Address(Number and Street) ❑ 9-, 6. Hydroelectric Power Device •
Haubstadt, IN 47639 i Gibson ❑ eSi 7. Geothermal Energy Heating/Cooling Device
City, State ZIP Code County ❑ 537.! 8. Is this property a residential rental property?
❑ 2. Does the buyer have a homestead in Indiana to be ❑ 4' 9. Would you like to receive tax statements for this
vacated for this residence? If yes, provide complete �' property via-email? (Provide contact information
address of residence being vacated, including county: below. Please see instructions for more information.
Not available in all counties.)
Address(Number and Street)
(-It -3(0.3W - 00a. y i-oay
City, State ZIP Code County Primary property owner contact name E-mail