HomeMy WebLinkAboutHomestead_Kidd INDIANA SALES DISCLOSURE FORM SDF ID: Page 2
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Becky King Closing Services
Preparer of the Sala Disclosure Form Title
7820 Eagle Crest Blvd..Ste 201 Regional Title Services
Address(Number and Street) Company
Evansville, IN 47715 812-759-5555 beckv.kine reclionaltitlelic.com
Oty,State and LP Code Telephone Number E-mail
0SEgLE tisWGWA1v`fOR(s) ,::', :_: t••.- :_ ck's�a_ -; - ,bWkri-s-t - -_
Gary Crnthrra Sandra Crothers
Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document
108 Rock Rd 108 Rock Rd
Addres(Number and Street) Addres(Number and Street)
Owensvilln IN 47665 Owensville IN 47665
Under penalties of perjury,l hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct
andmplete as equir y law,and is prepared in accordance •th IC 6-1.1-5.5,"/ eal Property Sales Disclosure Act".
Signature of Se Signatar Seller
Gay Crothers 10/09/2015 Sandra Crothers 10/09/2015
Printed Nome ofsdler Sign Date(MM/aD/Yrvh Printed Name of Seller an a
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i`FtBUI'£R(S)%G2ANTEE(S)r: APPtiIG 1T]OWOR?PROPERTY�TAX�DEDU CTIO�SKIDEN IFYX °ITEM till PIY :
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Brando idean Krsorconveyancedocrmen: Buyer 2-Name as appear on conveyance documep(�T 1 .3 2015
723 Kennedy Drive VV II
Addres(Number and Street) Address(Number and Street)
Fort Branch. IN 47648
THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY.IDENTIFY ALL OF THOSE THAT APPLY.
YES NO CONDITION I YES NO CnNnoN
1
❑ .Will this property be the buyer's primary [ tn
❑ 3.Homeste>
residence? Provide complete address of primary iii 0 4.Solar Energy Heating/Cooling System
residence,including county: ❑ ig 5.Wind Power Device
108 Rock Rd
Address(Number and Street) ❑ Igi 6.Hydroelectric Power Device
Owensville, IN 47665 Gibson ❑ Fl 7.Geothermal Energy Heating/Cooling Device
oty,Stare Code County
NI
❑ [VI' 2.Does the buyer have a homestead in Indiana to be ❑ 8.1s 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: a -• - •• •• ... a e s or more information.
Not available in all counties.)
Address(Number and Street)
a6 - /8 . Db -303 — Do 0 .7AS OAX
09;State VP Code County
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