HomeMy WebLinkAboutHomestead_Bates (2) INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
b:,PREPARER! "r.. -}- y .<_. ; I
Laura Rininyer Closing Coordinator
Preparer of the Sales Disclosure Farm 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 Email
E.SELLER(S)/.GRANTOR(S)__ i --- -- --_—�_ _ ____)
Dean C Theising v4 Crystal D Theising
Seller 1'Narne as appears on conveyance document Seller 2-Name as appears on conveyance document
4333 Bell Rd Apt 1413 4333 Bell Rd Apt 1419
Address(Number and Street) Address(Number and Street)
Newburgh IN 47630 Newburgh IN 47630
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,"Deal Property Sales Disclosure Act".
Signature of Seller' ! Signature of S ler
Penn C Theising I Djp9J I Crystal D. Theising JO f(�l j
Printed Name of Seller Skin Date fM /DD/1TM Printed Name of Seller Sian date(M /DD/YTI)
iF. BUYER(S)/GRANTEE(S),=APPLICATION:FOR'PROPERTYTAX:DEDUCTIONS IDENTIFYALITITEMS_THAT_APPLY_' - -_. .]
John M, Bates
Buyer l-Name as appears on conveyance document Buyer 2•Name as appears on conveyance air,
9921 Address s((Number S
Address(Number and Street) Address(Number and Street)
Owensville, IN 47665
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OFTHoary, - *Y.L'.,' .. .
YES NO CONDITION I YES NO CONDITION V/ Ty „ e
0 ❑ 1•Will this property be the buyer's primary 12 ❑ 3.Homestead UpiTOR
residence? Provide complete address of primary ❑ 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑
S.Wind Power Device
701 E Sinclair St
Address(Number and Street) ❑ Igi 6. Hydroelectric Power Device
Ft. Branch, IN 47648 Gibson
7.Geothermal Energy Heating/Cooling Device
City,State ZIP Code County
❑ NI 2.Does the buyer have a homestead in Indiana to be ❑ 0 8. Is this property a residential rental property?
vacated for this residence? If yes,provide ❑ 12 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) �� ���
2e. i — ?-00 —do0 a
City,State ZIP Code County - 9
Prima,