HomeMy WebLinkAboutHomestead_Crothers INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
!D:PREPARER 1
Laura Rininoer 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) , .• - ' T.t -,.; -, ? .
Danny L Strange Jacqueline S Strange
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
1892 Nottingham Trail 1892 Nottingham Trail
Address(Number and Street) Address(Number and Street)
Ponta Gorda FL 33980 Punta Gorda FL 33980
Under penalties of perjury thereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
a/pf mplete as rlquired't.j i w,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".
'Signature Iles \ 'I.'azure It Seller
flannyl Strange /0" •- ,4/5' - • - t: .r.- ! , Ili.:
Printed Name of Seller Sign Date(MM(DD(YYfl) Printed Name ofSeller I .. p Da•'.(N IoD/YYYn
F. BUYERISVGRANTEE(S)-APPLICATION FORPROPERTY TAX DEDUCTIONS- IDENTIFY ALL ITEM - I-1. .. • • ' 'Y
- 1, r. i-i. Sandra L.Crothers nrn 1 d 2015
toyer - 'ame as appears on conveyance document Buyer 2-Name as appears on conveyance document
18 E. Rock Rd. 108 E. Rock Rd. ,�Ji
Address(Number and Street) Address(Number and Street) �'J612t
Owensville. IN 47665 Owensville, IN 47665
GIBSON COUNTY AUDITOR
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION YES NO CONDITION
151 ❑ 1.Will this property be the buyer's primary ❑ 3.Homestead
residence? Provide complete address of primary i rV 4.So ar Energy Heating/Cooling System
residence,including county: ❑ j. 5.Wind Power Device
6810W400S
Address(Number and Street) ❑ 1l 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 El 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 0 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.
108 E. Rock Rd. Not avai able in alLcnw ties,)
Address(Number and Stmt)
Owensville, IN 47665 Gibson (o 10 - .lo - i o I - 004/.5 3.3 - 0 a j
City,State ZIP Code County
nwner rnntert carne -mail